TechDetail

Last Updated:  12/21/2024 7:07:07 PM

Technician Detail               
Name  ELISE  PENVADGA NGATI 
Type  Technician 
Number 21529 
City  OKLAHOMA CITY, OK  73162 
Status CANCELED
Issue Date  03/18/2016 
Renewed Date 12/31/2017
Expire Date  12/31/2018 
End Date  09/04/2018 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action