TechDetail

Last Updated:  5/18/2024 7:05:42 PM

Technician Detail               
Name  MYLA   RUSSELL 
Type  Technician 
Number 28241 
City  MUSKOGEE, OK  74401 
Status CANCELED
Issue Date  11/19/2021 
Renewed Date 11/19/2021
Expire Date  11/30/2022 
End Date  01/04/2023 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action