Last Updated: 6/26/2024 5:19:45 AM
Technician Detail| Name | YI C MANDEVILLE |
| Type | Technician |
| Number | 23522 |
| City | BROKEN ARROW, OK 74012 |
| Status | CANCELED |
| Issue Date | 11/22/2017 |
| Renewed Date | 05/30/2018 |
| Expire Date | 06/30/2019 |
| End Date | 07/31/2019 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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