Last Updated: 6/25/2024 7:04:26 PM
Technician Detail| Name | KIM PHAM |
| Type | Technician |
| Number | 11263 |
| City | OKLAHOMA CITY, OK 73162 |
| Status | CANCELED |
| Issue Date | 08/17/2007 |
| Renewed Date | 06/23/2009 |
| Expire Date | 07/31/2010 |
| End Date | 08/31/2010 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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