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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, February 24, 2018 5:31 AM CST
Next Update: Saturday, February 24, 2018 12:00 PM CST

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MARTIN, AMANDA DEE
Practice Address: SOUTHEAST MISSOURI STATE UNIVERSITY
1 UNIVERSITY PLAZA MS 7000
CAPE GIRARDEAU MO 63701

Address last updated on 8/1/2006
Phone #: (573) 986-6764
Fax #:
County: NOT OKLAHOMA
License: 330
Dated: 9/19/2002
Expires: 8/31/2007
Temp. Ltr. Issued: 9/12/2002
Temp. Ltr. Expires: 11/23/2002
License Type: Athletic Trainer
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
Disciplinary History: No Disciplinary Action Taken.
Locations: Hours: Languages:
SOUTHEAST MISSOURI STATE UNIVERSITY
1 UNIVERSITY PLAZA MS 7000
CAPE GIRARDEAU MO 63701

Phone #: (573) 986-6764
Fax #:

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