TechDetail

Last Updated:  1/8/2025 7:06:21 PM

Technician Detail               
Name  SHILPA   MISTRY 
Type  Technician 
Number 7547 
City  IDABEL, OK  74745 
Status CANCELED
Issue Date  11/18/2003 
Renewed Date 01/06/2005
Expire Date  11/30/2005 
End Date  12/30/2005 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action