TechDetail

Last Updated:  12/26/2024 5:23:35 AM

Technician Detail               
Name  SOMPHONE   VONGDEUANE 
Type  Technician 
Number 8065 
City  OKLAHOMA CITY, OK  73107 
Status CANCELED
Issue Date  07/07/2004 
Renewed Date 07/29/2005
Expire Date  07/31/2006 
End Date  08/31/2006 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action