Last Updated: 5/21/2024 5:19:33 AM
Technician Detail| Name | ANNA PHAN |
| Type | Technician |
| Number | 10858 |
| City | MOORE, OK 73160 |
| Status | CANCELED |
| Issue Date | 04/27/2007 |
| Renewed Date | 08/15/2013 |
| Expire Date | 09/30/2014 |
| End Date | 10/31/2014 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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