TechDetail

Last Updated:  5/2/2024 7:07:06 PM

Technician Detail               
Name  BANESA   AVALOS 
Type  Technician 
Number 25944 
City  TULSA, OK  74132 
Status License in Good Standing
Issue Date  03/19/2020 
Renewed Date 03/14/2024
Expire Date  03/31/2025 
End Date   

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action