TechDetail

Last Updated:  4/28/2024 7:04:45 PM

Technician Detail               
Name  SHAFIAH   BAWAHAB 
Type  Technician 
Number 28132 
City  TULSA, OK  74116 
Status CANCELED
Issue Date  11/04/2021 
Renewed Date 04/11/2022
Expire Date  05/31/2023 
End Date  07/05/2023 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action