TechDetail

Last Updated:  5/17/2024 7:04:46 PM

Technician Detail               
Name  PHAT   LIEU 
Type  Technician 
Number 10450 
City  OKLAHOMA CITY, OK  73112 
Status CANCELED
Issue Date  12/20/2006 
Renewed Date 12/22/2006
Expire Date  12/31/2007 
End Date  08/30/2007 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action