TechDetail

Last Updated:  4/5/2026 7:21:31 PM

Technician Detail               
Name  VAN   PHAM 
Type  Technician 
Number 16112 
City  OKLAHOMA CITY, OK  73109 
Status CANCELED
Issue Date  12/15/2011 
Renewed Date 04/16/2012
Expire Date  04/30/2013 
End Date  05/31/2013 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action