TechDetail

Last Updated:  1/15/2025 7:07:01 PM

Technician Detail               
Name  AILEEN A.  BOURIMAVONG 
Type  Technician 
Number 11637 
City  OKLAHOMA CITY, OK  73106 
Status CANCELED
Issue Date  12/20/2007 
Renewed Date 03/18/2014
Expire Date  03/31/2015 
End Date  04/30/2015 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action