TechDetail

Last Updated:  12/27/2024 10:12:16 AM

Technician Detail               
Name  AMANDA   PHILLIPS 
Type  Technician 
Number 7964 
City  OKLAHOMA CITY, OK  73120 
Status CANCELED
Issue Date  05/17/2004 
Renewed Date 05/21/2004
Expire Date  01/31/2005 
End Date  03/16/2005 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action