Last Updated: 5/19/2024 7:06:33 PM
Technician Detail| Name | SAMUEL GUSTAVSON |
| Type | Technician |
| Number | 25977 |
| City | OKLAHOMA CITY, OK 73114 |
| Status | License in Good Standing |
| Issue Date | 03/25/2020 |
| Renewed Date | 09/26/2023 |
| Expire Date | 09/30/2024 |
| End Date | |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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