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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, October 17, 2018 5:24 PM CDT
Next Update: Thursday, October 18, 2018 2:50 AM CDT

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GOEDECKE, MICHAEL AARON
Practice Address: NORTHEASTERN STATE UNIVERSITY
1041 N GRAND AVE
TAHLEQUAH OK 74464

Address last updated on 8/1/2018
Phone #: (918) 444-3921
Fax #:
County: CHEROKEE
License: 479
Dated: 9/30/2009
Expires: 8/31/2013
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:
NORTHEASTERN STATE UNIVERSITY
1041 N GRAND AVE
TAHLEQUAH OK 74464

Phone #: (918) 444-3921
Fax #:

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