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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, January 17, 2018 6:58 PM CST
Next Update: Thursday, January 18, 2018 2:50 AM CST

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DOUGHERTY, MARK ALLEN
Practice Address: SOLE FX
12711 EAST 86TH PLACE NORTH #105
OWASSO OK 74055

Address last updated on 11/19/2007
Phone #: (918) 609-6136
Fax #: (918) 609-6136
County: TULSA
License: 104
Dated: 10/23/2007
Expires: 1/31/2011
Temp. Ltr. Issued: 10/4/2007
Temp. Ltr. Expires: 11/3/2007
License Type: Licensed Pedorthist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 0
Disciplinary History: No Disciplinary Action Taken.
Locations: Hours: Languages:
SOLE FX
12711 EAST 86TH PLACE NORTH #105
OWASSO OK 74055

Phone #: (918) 609-6136
Fax #: (918) 609-6136

Return to Search Licensees page