TechDetail

Last Updated:  5/18/2024 5:22:36 AM

Technician Detail               
Name  RAVEN LASHA  MANOUS 
Type  Technician 
Number 26813 
City  DEL CITY, OK  73115 
Status CANCELED
Issue Date  12/02/2020 
Renewed Date 12/13/2021
Expire Date  12/31/2022 
End Date  02/01/2023 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action