TechDetail

Last Updated:  5/4/2024 7:05:07 PM

Technician Detail               
Name  NATHAN   LATHAM 
Type  Technician 
Number 27961 
City  OKLAHOMA CITY, OK  73160 
Status CANCELED
Issue Date  10/06/2021 
Renewed Date 10/07/2021
Expire Date  10/31/2022 
End Date  09/27/2021 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action