TechDetail

Last Updated:  5/8/2024 5:20:02 AM

Technician Detail               
Name  PENSUDA   PATITAS 
Type  Technician 
Number 28068 
City  OKLAHOMA CITY, OK  73107 
Status CANCELED
Issue Date  10/21/2021 
Renewed Date 11/11/2022
Expire Date  11/30/2023 
End Date  01/08/2024 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action