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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, April 23, 2024 4:03 AM CDT
Next Update: Tuesday, April 23, 2024 12:00 PM CDT

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BLASKE, KEVIN G
Practice Address: OKLAHOMA STATE UNIVERSITY
ATHLETIC TRAINING
170 ATHLETIC CENTER
STILLWATER OK 74078-0002

Address last updated on 7/3/2023
Phone #: (405) 744-2112
Fax #: (405) 744-4945
County: PAYNE
License: 652
Dated: 11/10/2011
Expires: 8/31/2024
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:
OKLAHOMA STATE UNIVERSITY
ATHLETIC TRAINING
170 ATHLETIC CENTER
STILLWATER OK 74078-0002

Phone #: (405) 744-2112
Fax #: (405) 744-4945
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
VAL GENE IVEN MD 17462

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