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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, October 18, 2018 3:21 AM CDT
Next Update: Thursday, October 18, 2018 12:00 PM CDT

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MILLSAP, DESTRI WAYNE
Practice Address: TULSA BONE & JOINT ASSOCIATES
12455 E 100TH ST N #120
OWASSO OK 74055

Address last updated on 8/10/2018
Phone #: (918) 272-9464
Fax #:
County: TULSA
License: 553
Dated: 9/6/2013
Expires: 8/31/2014
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:
TULSA BONE & JOINT ASSOCIATES
12455 E 100TH ST N #120
OWASSO OK 74055

Phone #: (918) 272-9464
Fax #:

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