Last Updated: 9/18/2024 7:06:08 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 | |
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