TechDetail

Last Updated:  12/22/2024 5:22:09 AM

Technician Detail               
Name  MELISSA  GOOMBI KALUSHA 
Type  Technician 
Number 2057 
City  BROKEN ARROW, OK  74012 
Status License in Good Standing
Issue Date  05/15/1996 
Renewed Date 10/29/2024
Expire Date  11/30/2025 
End Date   

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action