TechDetail

Last Updated:  5/16/2024 7:04:50 PM

Technician Detail               
Name  MIRIAM   DE LARA 
Type  Technician 
Number 30795 
City  TULSA, OK  74112 
Status License in Good Standing
Issue Date  10/19/2023 
Renewed Date 10/20/2023
Expire Date  09/30/2024 
End Date   

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action