TechDetail

Last Updated:  5/19/2024 5:21:38 AM

Technician Detail               
Name  MAI THANH DINH  PHAM 
Type  Technician 
Number 4867 
City  OKLAHOMA CITY, OK  73162 
Status CANCELED
Issue Date  10/03/2000 
Renewed Date 12/11/2002
Expire Date  01/31/2004 
End Date  09/10/2003 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action