Last Updated: 1/15/2025 7:07:01 PM
Technician Detail| Name | NISSYMOL KURUVILLA |
| Type | Technician |
| Number | 13161 |
| City | BETHANY, OK 73008 |
| Status | CANCELED |
| Issue Date | 05/22/2009 |
| Renewed Date | 05/22/2009 |
| Expire Date | 09/30/2009 |
| End Date | 09/24/2009 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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