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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, July 17, 2018 9:45 AM CDT
Next Update: Tuesday, July 17, 2018 12:00 PM CDT

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BROWN, DOMINIQUE JACINTA
Practice Address: 545 LANE AVENUE
JACKSON TN 38301

Address last updated on 2/20/2018
Phone #: (731) 426-7500
Fax #:
County: NOT OKLAHOMA
License: 805
Dated: 3/4/2014
Expires: 8/31/2014
Temp. Ltr. Issued: 9/20/2013
Temp. Ltr. Expires: 3/28/2014
License Type: Athletic Trainer
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 0
Disciplinary History: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
545 LANE AVENUE
JACKSON TN 38301

Phone #: (731) 426-7500
Fax #:

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