TechDetail

Last Updated:  5/3/2024 5:22:06 AM

Technician Detail               
Name  KIM   PARHAM 
Type  Technician 
Number 3845 
City  SALLISAW, OK  74955 
Status CANCELED
Issue Date  06/25/1999 
Renewed Date 12/30/1999
Expire Date  01/31/2001 
End Date  03/15/2001 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action