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PORACHAN, MICHELLE ANNETTE
Practice Address: OKLAHOMA STATE UNIVERSITY
103 GALLAGHER-IBA ARENA
STILLWATER OK 74078

Address last updated on 12/23/1999
Phone #:
Fax #:
County: PAYNE
License: 78
Dated: 1/11/1992
Expires: 8/31/1993
Temp. Ltr. Issued: 12/19/1991
Temp. Ltr. Expires: 1/11/1992
License Type: Athletic Trainer
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
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
103 GALLAGHER-IBA ARENA
STILLWATER OK 74078

Phone #:
Fax #:

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