Last Updated: 9/19/2024 5:21:45 AM
Technician Detail| Name | KIM PHAM |
| Type | Technician |
| Number | 8825 |
| City | OKLAHOMA CITY, OK 73162 |
| Status | CANCELED |
| Issue Date | 05/25/2005 |
| Renewed Date | 10/05/2005 |
| Expire Date | 10/31/2006 |
| End Date | 12/04/2006 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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