Last Updated: 5/2/2024 7:07:06 PM
Technician Detail| Name | MANI SOUTHARATH |
| Type | Technician |
| Number | 2820 |
| City | OKLAHOMA CITY, OK 73112 |
| Status | CANCELED |
| Issue Date | 09/24/1997 |
| Renewed Date | 01/25/1999 |
| Expire Date | 01/31/2000 |
| End Date | 03/10/2000 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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