TechDetail

Last Updated:  5/2/2024 7:07:06 PM

Technician Detail               
Name  CHITTI REVATHI  KOREDDY 
Type  Technician 
Number 27199 
City  BIXBY, OK  74008 
Status CANCELED
Issue Date  03/17/2021 
Renewed Date 03/17/2021
Expire Date  08/31/2021 
End Date  10/01/2021 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action