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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, April 23, 2018 5:13 PM CDT
Next Update: Tuesday, April 24, 2018 2:50 AM CDT

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RICO, MARIELA YESENIA
Practice Address: OKLAHOMA STATE UNIVERSITY
1046 WEST HALL OF FAME AVE
STILLWATER OK 74078

Address last updated on 8/17/2015
Phone #: (405) 818-7153
Fax #:
County: PAYNE
License: 631
Dated: 3/4/2014
Expires: 8/31/2016
Temp. Ltr. Issued: 10/18/2013
Temp. Ltr. Expires: 3/28/2014
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:
OKLAHOMA STATE UNIVERSITY
1046 WEST HALL OF FAME AVE
STILLWATER OK 74078

Phone #: (405) 818-7153
Fax #:

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