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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, January 23, 2018 4:23 AM CST
Next Update: Tuesday, January 23, 2018 12:00 PM CST

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RUSSELL, RENNY BEAU
Practice Address: University of Central Oklahoma
100 North University Drive
Edmond OK 73034-5207

Address last updated on 7/11/2011
Phone #: (405) 974-2959 x2959
Fax #:
County: OKLAHOMA
License: 541
Dated: 9/15/2011
Expires: 8/31/2012
Temp. Ltr. Issued: 8/9/2011
Temp. Ltr. Expires: 9/16/2011
License Type: Apprentice Athletic Trainer
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 0
Disciplinary History: No Disciplinary Action Taken.
Locations: Hours: Languages:
University of Central Oklahoma
100 North University Drive
Edmond OK 73034-5207

Phone #: (405) 974-2959 x2959
Fax #:

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