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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, February 17, 2018 7:21 PM CST
Next Update: Sunday, February 18, 2018 2:50 AM CST

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GOEDECKE, MICHAEL AARON
Practice Address: NORTHEASTERN STATE UNIVERSITY
1041 N GRAND AVE
TAHLEQUAH OK 74464

Address last updated on 7/21/2017
Phone #: (918) 444-3921
Fax #:
County: CHEROKEE
License: 957
Dated: 9/15/2016
Expires: 8/31/2018
Temp. Ltr. Issued: 8/17/2016
Temp. Ltr. Expires: 9/23/2016
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:
NORTHEASTERN STATE UNIVERSITY
1041 N GRAND AVE
TAHLEQUAH OK 74464

Phone #: (918) 444-3921
Fax #:

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