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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, July 18, 2018 3:10 AM CDT
Next Update: Wednesday, July 18, 2018 12:00 PM CDT

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FUQUA, MICHELLE LYNN
Practice Address: 4808 SOUTH 109TH EAST AVE.
TULSA OK 74146

Address last updated on 12/29/2017
Phone #: (918) 392-1482
Fax #: (918) 392-7063
County: TULSA
License: 230
Dated: 11/12/1998
Expires: 8/31/2001
Temp. Ltr. Issued: 9/30/1998
Temp. Ltr. Expires: 11/12/1998
License Type: Apprentice Athletic Trainer
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
Disciplinary History: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
4808 SOUTH 109TH EAST AVE.
TULSA OK 74146

Phone #: (918) 392-1482
Fax #: (918) 392-7063

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