TechDetail

Last Updated:  12/21/2024 7:07:07 PM

Technician Detail               
Name  PHU   PHAM 
Type  Technician 
Number 9519 
City  OKLAHOMA CITY, OK  73159 
Status CANCELED
Issue Date  02/08/2006 
Renewed Date 02/23/2010
Expire Date  02/28/2011 
End Date  03/31/2011 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action