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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, January 19, 2018 4:22 AM CST
Next Update: Friday, January 19, 2018 12:00 PM CST

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CLARK, COULTER LOUIS
Practice Address: 1000 WEST FOURTH STREET
SKIATOOK OK 74070

Address last updated on 8/28/2017
Phone #:
Fax #:
County: OSAGE
License: 673
Dated: 2/17/2012
Expires: 8/31/2018
Temp. Ltr. Issued: 10/14/2011
Temp. Ltr. Expires: 3/23/2012
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:
1000 WEST FOURTH STREET
SKIATOOK OK 74070

Phone #:
Fax #:

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