TechDetail

Last Updated:  12/22/2024 5:22:09 AM

Technician Detail               
Name  LILAH   RASTAKHIZ 
Type  Technician 
Number 8948 
City  EDMOND, OK  73013 
Status CANCELED
Issue Date  07/12/2005 
Renewed Date 01/28/2008
Expire Date  12/31/2008 
End Date  01/30/2009 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action