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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, January 21, 2018 6:13 PM CST
Next Update: Monday, January 22, 2018 2:50 AM CST

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ITSCHERT, BERIT MATHILDE
Practice Address: NORTHEASTERN STATE UNIVERSITY
600 NORTH GRAND AVENUE
TAHLEQUAH OK 74464

Address last updated on 3/4/2003
Phone #: (918) 456-5511 x3970
Fax #:
County: CHEROKEE
License: 349
Dated: 3/4/2003
Expires: 8/31/2003
Temp. Ltr. Issued: 2/6/2003
Temp. Ltr. Expires: 3/29/2003
License Type: Apprentice Athletic Trainer
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
Disciplinary History: No Disciplinary Action Taken.
Locations: Hours: Languages:
NORTHEASTERN STATE UNIVERSITY
600 NORTH GRAND AVENUE
TAHLEQUAH OK 74464

Phone #: (918) 456-5511 x3970
Fax #:

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