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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Saturday, January 20, 2018 12:00 PM CST

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AGUILERA, SAM
Practice Address: 5 NORWICH
SHAWNEE OK 74801

Address last updated on 12/23/1999
Phone #:
Fax #:
County: POTTAWATOMIE
License: 125
Dated: 9/29/1994
Expires: 8/31/1996
Temp. Ltr. Issued: 6/29/1994
Temp. Ltr. Expires: 11/19/1994
License Type: Athletic Trainer
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
Disciplinary History: No Disciplinary Action Taken.
Locations: Hours: Languages:
5 NORWICH
SHAWNEE OK 74801

Phone #:
Fax #:

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