TechDetail

Last Updated:  5/17/2024 5:21:28 AM

Technician Detail               
Name  RYAN OUDAY  SOURIGNAVONG 
Type  Technician 
Number 22964 
City  YUKON, OK  73099 
Status CANCELED
Issue Date  05/17/2017 
Renewed Date 01/04/2022
Expire Date  12/31/2022 
End Date  02/01/2023 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action