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Next Update: Wednesday, April 24, 2024 4:30 PM CDT
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LONG, BLAINE CLETUS |
| Practice Address: |
OKLAHOMA STATE UNIVERSITY
STILLWATER OK 74078
Address last updated on 7/22/2013 |
| Phone #: |
(405) 744-3670 |
| Fax #: |
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| County: |
PAYNE |
| License: |
541 |
| Dated: |
9/18/2008 |
| Expires: |
8/31/2014 |
|
Temp.
Ltr.
Issued:
|
8/1/2008 |
|
Temp.
Ltr.
Expires:
|
3/1/2009 |
| License Type: |
Athletic Trainer |
| Specialty: |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| CME Year: |
0 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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