Last Updated: 4/10/2026 7:24:57 PM
Technician Detail| Name | DONNA ALISA PHOMSOUVANH |
| Type | Technician |
| Number | 15997 |
| City | OKLAHOMA CITY, OK 73162 |
| Status | CANCELED |
| Issue Date | 11/07/2011 |
| Renewed Date | 09/12/2013 |
| Expire Date | 08/31/2014 |
| End Date | 09/30/2014 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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