TechDetail

Last Updated:  4/29/2024 5:20:32 AM

Technician Detail               
Name  LARISA   TISHKOVA-DYGERT 
Type  Technician 
Number 4875 
City  OKLAHOMA CITY, OK  73159 
Status CANCELED
Issue Date  10/06/2000 
Renewed Date 12/21/2001
Expire Date  01/31/2003 
End Date  09/04/2002 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action