BLOXOM, STACY SOTHERN - Licensee Information

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Last Update: Friday, April 19, 2024 6:57 PM CDT
Next Update: Saturday, April 20, 2024 2:50 AM CDT

BLOXOM, STACY SOTHERN

Practice Address:	THE DIABETIC SHOE STORE 123 W MAIN ST DENISON TX 75020 Address last updated on 1/31/2003
Phone #:
Fax #:
County:	NOT OKLAHOMA
License:	46
Dated:	2/1/2003
Expires:	1/31/2004
License Type:	Licensed Pedorthist
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:
THE DIABETIC SHOE STORE 123 W MAIN ST DENISON TX 75020 Phone #: Fax #:

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Oklahoma State Board of Medical Licensure and Supervision :: 101 NE 51st St, Oklahoma City, OK 73105-1821
Main Number: (405) 962-1400 :: Fax: (405) 962-1440 :: Complaints outside 405 area code: 1-800-381-4519
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