TechDetail

Last Updated:  5/11/2024 7:05:18 PM

Technician Detail               
Name  SHAWNA FAYE  MENDOZA 
Type  Technician 
Number 24757 
City  VIAN, OK  74962 
Status License in Good Standing
Issue Date  01/16/2019 
Renewed Date 06/20/2023
Expire Date  06/30/2024 
End Date   

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action