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KIECKE, SUSAN JOY
Practice Address: 2018 E BROADWAY
PEARLAND TX 77581
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 14982
Dated: 9/22/1984
Expires: 6/30/1987
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ of TX at San Antonio, UTSA Long School of Medicine
Graduated: 6 / 1983
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.
Certifications:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
2018 E BROADWAY
PEARLAND TX 77581

Phone #:
Fax #:

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