RUSSELL, ALLISON MARIE - Licensee Information

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Last Update: Thursday, April 25, 2024 7:02 PM CDT
Next Update: Friday, April 26, 2024 2:50 AM CDT

RUSSELL, ALLISON MARIE

Practice Address:	Not Practicing as of 7/13/2015 Address last updated on 8/31/2023
Phone #:
Fax #:
County:	NOT OKLAHOMA
License:	417
Dated:	2/25/2005
Expires:	8/31/2024
Temp. Ltr. Issued:	4/18/2014
Temp. Ltr. Expires:	9/19/2014
License Type:	Athletic Trainer
Specialty:

Status:	Active
Status Class:	Not Practicing
Restricted to:
CME Year:	0

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:
Not Practicing as of 7/13/2015 Phone #: Fax #:

Name:	Type:	License Number:
Primary Supervisor(s):
ANTOINE IBRAHIM JABBOUR	MD	17674
KEITH LADON STANLEY	MD	15232

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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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