TechDetail

Last Updated:  7/8/2024 5:22:07 AM

Technician Detail               
Name  MELISSA   SIDES 
Type  Technician 
Number 16848 
City  OKLAHOMA CITY, OK  73132 
Status CANCELED
Issue Date  08/23/2012 
Renewed Date 08/24/2012
Expire Date  11/30/2012 
End Date  12/31/2012 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action