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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, October 23, 2018 3:20 AM CDT
Next Update: Tuesday, October 23, 2018 12:00 PM CDT

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JOHNSON, CARROLL LOUISE
Practice Address: MILLWOOD HIGH SCHOOL
6724 N. MLK AVE
OKLAHOMA CITY OK 73111

Address last updated on 8/30/2015
Phone #: (405) 478-0504
Fax #:
County: OKLAHOMA
License: 363
Dated: 9/11/2003
Expires: 8/31/2016
Temp. Ltr. Issued: 8/14/2003
Temp. Ltr. Expires: 9/13/2003
License Type: 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:
MILLWOOD HIGH SCHOOL
6724 N. MLK AVE
OKLAHOMA CITY OK 73111

Phone #: (405) 478-0504
Fax #:

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