TechDetail

Last Updated:  5/7/2024 7:05:49 PM

Technician Detail               
Name  MASON   PERALTA 
Type  Technician 
Number 28069 
City  BROKEN ARROW, OK  74012 
Status License in Good Standing
Issue Date  10/21/2021 
Renewed Date 04/04/2024
Expire Date  05/31/2025 
End Date   

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action