TechDetail

Last Updated:  12/6/2025 7:09:57 PM

Technician Detail               
Name  SAMUAL   PHILLIPS 
Type  Technician 
Number 16630 
City  POTEAU, OK  74953 
Status CANCELED
Issue Date  06/21/2012 
Renewed Date 04/09/2021
Expire Date  04/30/2022 
End Date  06/01/2022 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action