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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, October 19, 2018 5:23 PM CDT
Next Update: Saturday, October 20, 2018 2:50 AM CDT

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BROWN, DOMINIQUE JACINTA
Practice Address: 545 LANE AVENUE
JACKSON TN 38301

Address last updated on 2/20/2018
Phone #: (731) 426-7500
Fax #:
County: NOT OKLAHOMA
License: 476
Dated: 9/17/2009
Expires: 8/31/2011
Temp. Ltr. Issued: 7/23/2009
Temp. Ltr. Expires: 9/18/2009
License Type: Apprentice Athletic Trainer
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 0
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:
545 LANE AVENUE
JACKSON TN 38301

Phone #: (731) 426-7500
Fax #:

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