TechDetail

Last Updated:  1/11/2025 7:07:24 PM

Technician Detail               
Name  JOHANNA   BALLESTER 
Type  Technician 
Number 19093 
City  MOORE, OK  73160 
Status CANCELED
Issue Date  05/13/2014 
Renewed Date 08/09/2023
Expire Date  08/31/2024 
End Date  10/01/2024 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action