HETZLER, BRANDON SCOTT - Licensee Information

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HETZLER, BRANDON SCOTT

Practice Address:	CENTRAL STATES ORTHOPEDIC SPECIALISTS INC 511 S. WINDSOR STILLWATER OK 74074-6962 Address last updated on 9/1/2006
Phone #:	(405) 707-0900
Fax #:
County:	PAYNE
License:	264
Dated:	9/28/2000
Expires:	8/31/2007
Temp. Ltr. Issued:	8/13/2004
Temp. Ltr. Expires:	9/24/2004
License Type:	Athletic Trainer
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
CME Year:

Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.

All information below is entered by the licensee but not verified by the Oklahoma Medical Board.

Locations:	Hours:	Languages:
CENTRAL STATES ORTHOPEDIC SPECIALISTS INC 511 S. WINDSOR STILLWATER OK 74074-6962 Phone #: (405) 707-0900 Fax #:

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Oklahoma State Board of Medical Licensure and Supervision :: 101 NE 51st St, Oklahoma City, OK 73105-1821
Main Number: (405) 962-1400 :: Fax: (405) 962-1440 :: Complaints outside 405 area code: 1-800-381-4519
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