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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, November 13, 2018 3:18 AM CST
Next Update: Tuesday, November 13, 2018 12:00 PM CST

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FORNWALT, GRACE JEAN
Practice Address: UNIVERSITY OF OKLAHOMA DEPT OF INTERCOLLEGIATE ATH
180 W BROOKS ST
NORMAN OK 73019

Address last updated on 7/16/2018
Phone #: (405) 325-8422
Fax #:
County: CLEVELAND
License: 987
Dated: 9/7/2017
Expires: 8/31/2019
Temp. Ltr. Issued: 4/5/2017
Temp. Ltr. Expires: 9/14/2017
License Type: Athletic Trainer
Specialty:
Status: Active
Status Class: Fully Licensed
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:
UNIVERSITY OF OKLAHOMA DEPT OF INTERCOLLEGIATE ATH
180 W BROOKS ST
NORMAN OK 73019

Phone #: (405) 325-8422
Fax #:

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