Last Updated: 12/23/2024 5:22:52 AM
Technician Detail| Name | SANDRA SOUVANNACHAK |
| Type | Technician |
| Number | 8399 |
| City | HYDRO, OK 73048 |
| Status | CANCELED |
| Issue Date | 11/18/2004 |
| Renewed Date | 12/12/2008 |
| Expire Date | 12/31/2009 |
| End Date | 09/04/2009 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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