TechDetail

Last Updated:  5/15/2024 5:21:32 AM

Technician Detail               
Name  DIEM BICH  PHAM 
Type  Technician 
Number 997 
City  OKLAHOMA CITY, OK  73170 
Status CANCELED
Issue Date  06/24/1994 
Renewed Date
Expire Date  01/31/1995 
End Date  02/24/1995 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action