TechDetail

Last Updated:  5/16/2024 7:04:50 PM

Technician Detail               
Name  ANU KOSHY  JACOB 
Type  Technician 
Number 2720 
City  OKLAHOMA CITY, OK  73127 
Status CANCELED
Issue Date  07/16/1997 
Renewed Date 07/16/1997
Expire Date  01/31/1998 
End Date  03/02/1998 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action