TechDetail

Last Updated:  5/19/2024 5:21:38 AM

Technician Detail               
Name  HANISHA P  BHAKTA 
Type  Technician 
Number 26086 
City  SHAWNEE, OK  74804 
Status CANCELED
Issue Date  04/30/2020 
Renewed Date 04/30/2020
Expire Date  11/30/2020 
End Date  09/29/2020 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action