Last Updated: 12/22/2024 5:22:09 AM
Technician DetailName | 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 | |