TechDetail

Last Updated:  1/15/2025 5:23:18 AM

Technician Detail               
Name  TRUONG DINH  PHAM 
Type  Technician 
Number 5663 
City  EDMOND, OK  73013 
Status CANCELED
Issue Date  09/10/2001 
Renewed Date 02/07/2005
Expire Date  11/30/2005 
End Date  12/30/2005 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action