TechDetail

Last Updated:  5/5/2024 5:21:49 AM

Technician Detail               
Name  MAKAGEN M  PHILLIPS 
Type  Technician 
Number 29020 
City  CLAREMORE, OK  74017 
Status License in Good Standing
Issue Date  05/20/2022 
Renewed Date 12/13/2023
Expire Date  01/31/2025 
End Date   

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action