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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, April 26, 2024 7:06 PM CDT
Next Update: Saturday, April 27, 2024 2:50 AM CDT

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ZUCKSWORTH, ELI SAMUEL
Practice Address: 1300 SOUTH COUNTRY CLUB RD.
EL RENO OK 73036-5300

Address last updated on 3/5/2024
Phone #: (405) 422-6276
Fax #:
County: CANADIAN
License: 571
Dated: 3/17/2009
Expires: 8/31/2024
Temp. Ltr. Issued: 12/5/2008
Temp. Ltr. Expires: 3/27/2009
License Type: Athletic Trainer
Specialty:
Status: Active
Status Class: Fully Licensed
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:
1300 SOUTH COUNTRY CLUB RD.
EL RENO OK 73036-5300

Phone #: (405) 422-6276
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
TEDDY EUGENE WEBB MD 11834

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