TechDetail

Last Updated:  5/19/2024 5:21:38 AM

Technician Detail               
Name  JUSTIN JOHN  KOTTUNJALIL 
Type  Technician 
Number 24629 
City  OKLAHOMA CITY, OK  73162 
Status CANCELED
Issue Date  11/29/2018 
Renewed Date 01/28/2020
Expire Date  01/31/2021 
End Date  03/03/2021 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action