TechDetail

Last Updated:  4/10/2026 7:24:57 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