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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Wednesday, May 1, 2024 2:50 AM CDT

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HARDIN, ELLEN MARIE
Practice Address: 209 MARTIN LUTHER KING JR WAY
TACOMA WA 98405

Address last updated on 10/3/2002
Phone #: (253) 596-3402
Fax #:
County: NOT OKLAHOMA
License: 14653
Dated: 5/21/1984
Expires: 5/1/2003
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: UNIV OF MO-KANSAS CITY SCH OF MED, KANSAS CITY MO 64108
Graduated: 5 / 1981
CME Year: 2004
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.
Certifications: AMERICAN BOARD OF INTERNAL MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
209 MARTIN LUTHER KING JR WAY
TACOMA WA 98405

Phone #: (253) 596-3402
Fax #:

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