TechDetail

Last Updated:  9/19/2024 5:21:45 AM

Technician Detail               
Name  CHOULY   KHAMVONGSA 
Type  Technician 
Number 12894 
City  YUKON, OK  73099 
Status CANCELED
Issue Date  02/10/2009 
Renewed Date 12/26/2016
Expire Date  12/31/2017 
End Date  01/31/2018 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action