TechDetail

Last Updated:  6/28/2024 7:07:03 PM

Technician Detail               
Name  YASAMAN   ETEMADFARD 
Type  Technician 
Number 22494 
City  EDMOND, OK  73013 
Status CANCELED
Issue Date  12/20/2016 
Renewed Date 03/30/2017
Expire Date  03/31/2018 
End Date  04/30/2018 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action