TechDetail

Last Updated:  12/21/2024 7:07:07 PM

Technician Detail               
Name  QUYNH VO PHUONG BUI 
Type  Technician 
Number 17635 
City  BROKEN ARROW, OK  74012 
Status CANCELED
Issue Date  03/28/2013 
Renewed Date 03/06/2014
Expire Date  02/28/2015 
End Date  09/10/2014 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action