RUSSELL, RENNY BEAU - Licensee Information

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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

Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.

All information below is entered by the licensee but not verified by the Oklahoma Medical Board.

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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Oklahoma State Board of Medical Licensure and Supervision :: 101 NE 51st St, Oklahoma City, OK 73105-1821
Main Number: (405) 962-1400 :: Fax: (405) 962-1440 :: Complaints outside 405 area code: 1-800-381-4519
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