TechDetail

Last Updated:  12/24/2024 7:08:15 PM

Technician Detail               
Name  PHILIP P.  SAMUEL 
Type  Technician 
Number 8258 
City  YUKON, OK  73099 
Status CANCELED
Issue Date  09/22/2004 
Renewed Date 10/23/2021
Expire Date  11/30/2022 
End Date  01/04/2023 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action