TechDetail

Last Updated:  5/11/2024 7:05:18 PM

Technician Detail               
Name  MELODY   ELLIS 
Type  Technician 
Number 29849 
City  TAHLEQUAH, OK  74464 
Status License in Good Standing
Issue Date  02/03/2023 
Renewed Date 12/06/2023
Expire Date  12/31/2024 
End Date   

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action