TechDetail

Last Updated:  5/16/2024 7:04:50 PM

Technician Detail               
Name  MARJAN P.  FARDADFARD 
Type  Technician 
Number 6189 
City  YUKON, OK  73099 
Status CANCELED
Issue Date  04/30/2002 
Renewed Date 01/23/2004
Expire Date  01/31/2005 
End Date  09/01/2004 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action