TechDetail

Last Updated:  1/15/2025 7:07:01 PM

Technician Detail               
Name  CONSUELO   PENA 
Type  Technician 
Number 22499 
City  BETHANY, OK  73008 
Status License in Good Standing
Issue Date  12/20/2016 
Renewed Date 12/31/2024
Expire Date  12/31/2025 
End Date   

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action