TechDetail

Last Updated:  1/11/2025 7:07:24 PM

Technician Detail               
Name  MIRANDA   BALEZENTIS 
Type  Technician 
Number 16584 
City  TULSA, OK  74112 
Status CANCELED
Issue Date  06/14/2012 
Renewed Date 08/03/2014
Expire Date  08/31/2015 
End Date  01/28/2015 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action