TechDetail

Last Updated:  5/20/2024 5:21:57 AM

Technician Detail               
Name  BRENDA   CEBALLOS 
Type  Technician 
Number 24826 
City  OKLAHOMA CITY, OK  73119 
Status CANCELED
Issue Date  02/20/2019 
Renewed Date 09/10/2019
Expire Date  09/30/2020 
End Date  11/01/2020 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action