TechDetail

Last Updated:  5/2/2024 7:07:06 PM

Technician Detail               
Name  MELISSA   ASCENCIO 
Type  Technician 
Number 28350 
City  TULSA, OK  74104 
Status CANCELED
Issue Date  12/10/2021 
Renewed Date 12/10/2021
Expire Date  01/31/2022 
End Date  03/03/2022 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action