SULLIVAN, SHANNON ELIZABETH - Licensee Information

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SULLIVAN, SHANNON ELIZABETH

Practice Address:	MIDWEST REHAB MEDICINE 1113 SOUTH DOULAS BOULEVARD MIDWEST CITY OK 73130 Address last updated on 5/10/2002
Phone #:	(405) 610-8090
Fax #:
County:	OKLAHOMA
License:	320
Dated:	5/9/2002
Expires:	8/31/2004
Temp. Ltr. Issued:	3/22/2002
Temp. Ltr. Expires:	5/12/2002
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:
MIDWEST REHAB MEDICINE 1113 SOUTH DOULAS BOULEVARD MIDWEST CITY OK 73130 Phone #: (405) 610-8090 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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