TechDetail

Last Updated:  4/29/2024 5:20:32 AM

Technician Detail               
Name  SAM   GHOSN 
Type  Technician 
Number 4403 
City  LAWTON, OK  73505 
Status CANCELED
Issue Date  03/24/2000 
Renewed Date 07/01/2011
Expire Date  07/31/2012 
End Date  08/31/2012 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action