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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, July 23, 2018 10:45 AM CDT
Next Update: Monday, July 23, 2018 12:00 PM CDT

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LEWALLEN, PATRICK LEE
Practice Address: OKLAHOMA STATE UNIVERSITY
103 GALLAGHER-IBA
STILLWATER OK 74078

Address last updated on 12/23/1999
Phone #:
Fax #:
County: PAYNE
License: 99
Dated: 5/9/1992
Expires: 8/31/1993
Temp. Ltr. Issued: 1/23/1992
Temp. Ltr. Expires: 9/12/1992
License Type: Apprentice Athletic Trainer
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
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
103 GALLAGHER-IBA
STILLWATER OK 74078

Phone #:
Fax #:

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