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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, October 19, 2018 5:23 PM CDT
Next Update: Saturday, October 20, 2018 2:50 AM CDT

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Practice Address: 1714 E 53RD ST
TULSA OK 74105

Address last updated on 8/15/2018
Phone #:
Fax #:
County: TULSA
License: 586
Dated: 11/2/2012
Expires: 8/31/2015
License Type: Apprentice Athletic Trainer
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:
1714 E 53RD ST
TULSA OK 74105

Phone #:
Fax #:

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