MILLSAP, DESTRI WAYNE - Licensee Information

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Last Update: Thursday, April 25, 2024 10:24 AM CDT
Next Update: Thursday, April 25, 2024 12:00 PM CDT

MILLSAP, DESTRI WAYNE

Practice Address:	TULSA BONE & JOINT ASSOCIATES 12455 E 100TH ST N #120 OWASSO OK 74055 Address last updated on 8/2/2023
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

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:
TULSA BONE & JOINT ASSOCIATES 12455 E 100TH ST N #120 OWASSO OK 74055 Phone #: (918) 272-9464 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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