Last Updated: 5/16/2024 5:21:04 AM
Technician Detail| Name | SOMPHONE VONGDEUANE |
| Type | Technician |
| Number | 8065 |
| City | OKLAHOMA CITY, OK 73107 |
| Status | CANCELED |
| Issue Date | 07/07/2004 |
| Renewed Date | 07/29/2005 |
| Expire Date | 07/31/2006 |
| End Date | 08/31/2006 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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