Last Updated: 12/22/2024 5:22:09 AM
Technician Detail| Name | WATSALY BOURIMAVONG |
| Type | Technician |
| Number | 9442 |
| City | OKLAHOMA CITY, OK 73106 |
| Status | CANCELED |
| Issue Date | 01/11/2006 |
| Renewed Date | 07/03/2013 |
| Expire Date | 06/30/2014 |
| End Date | 07/31/2014 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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