TechDetail

Last Updated:  12/10/2025 8:09:35 AM

Technician Detail               
Name  KHADIJAH   HASSAN 
Type  Technician 
Number 15735 
City  TULSA, OK  74133 
Status CANCELED
Issue Date  08/29/2011 
Renewed Date 01/01/2014
Expire Date  12/31/2014 
End Date  01/31/2015 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action