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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, April 26, 2024 2:08 PM CDT
Next Update: Friday, April 26, 2024 4:30 PM CDT

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SHANNON, EMILIE TAYLOR
Practice Address: OCO
3110 SW 89TH ST
SUITE 200C
OKLAHOMA CITY OK 73159

Address last updated on 8/1/2023
Phone #: (405) 759-2663
Fax #:
County: OKLAHOMA
License: 551
Dated: 2/17/2012
Expires: 8/31/2014
Temp. Ltr. Issued: 9/15/2011
Temp. Ltr. Expires: 3/23/2012
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:
OCO
3110 SW 89TH ST
SUITE 200C
OKLAHOMA CITY OK 73159

Phone #: (405) 759-2663
Fax #:

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