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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, July 20, 2018 3:10 AM CDT
Next Update: Friday, July 20, 2018 12:00 PM CDT

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ZUCKSWORTH, ELI SAMUEL
Practice Address: 1300 SOUTH COUNTRY CLUB RD.
EL RENO OK 73036-5300

Address last updated on 7/18/2018
Phone #: (405) 422-6276
Fax #:
County: CANADIAN
License: 340
Dated: 11/21/2002
Expires: 8/31/2005
Temp. Ltr. Issued: 10/31/2002
Temp. Ltr. Expires: 11/23/2002
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:
1300 SOUTH COUNTRY CLUB RD.
EL RENO OK 73036-5300

Phone #: (405) 422-6276
Fax #:

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