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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, January 21, 2018 6:13 PM CST
Next Update: Monday, January 22, 2018 2:50 AM CST

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BROOKS, JEANIEROSE
Practice Address: MERCY CLINIC PRIMARY CARE- N PORTLAND
18503 N PORTLAND AVENUE
EDMOND OK 73012

Address last updated on 1/2/2018
Phone #: (405) 532-4317
Fax #:
County: OKLAHOMA
License: 691
Dated: 9/2/2015
Expires: 8/31/2016
Temp. Ltr. Issued: 7/26/2015
Temp. Ltr. Expires: 9/25/2015
License Type: Apprentice Athletic Trainer
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 0
Disciplinary History: No Disciplinary Action Taken.
Locations: Hours: Languages:
MERCY CLINIC PRIMARY CARE- N PORTLAND
18503 N PORTLAND AVENUE
EDMOND OK 73012

Phone #: (405) 532-4317
Fax #:

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