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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, January 23, 2018 4:23 AM CST
Next Update: Tuesday, January 23, 2018 12:00 PM CST

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DETWEILER, EDWIN LYLE
Practice Address: SW OKLAHOMA STATE UNIVERSITY
100 CAMPUS DRIVE
WEATHERFORD OK 73096

Address last updated on 1/18/2018
Phone #: (580) 774-3073
Fax #:
County: CUSTER
License: 624
Dated: 9/16/2010
Expires: 8/31/2018
Temp. Ltr. Issued: 8/25/2010
Temp. Ltr. Expires: 9/17/2010
License Type: Athletic Trainer
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 0
Disciplinary History: No Disciplinary Action Taken.
Locations: Hours: Languages:
SW OKLAHOMA STATE UNIVERSITY
100 CAMPUS DRIVE
WEATHERFORD OK 73096

Phone #: (580) 774-3073
Fax #:

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