TechDetail

Last Updated:  3/28/2024 5:20:33 AM

Technician Detail               
Name  WATSALY   BOURIMAVONG 
Type  Technician 
Number 9442 
City  OKLAHOMA CITY, OK  73106 
Status CANCELED
Issue Date  01/11/2006 
Renewed Date 07/03/2013
Expire Date  06/30/2014 
End Date  07/31/2014 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action