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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, May 5, 2024 4:03 AM CDT
Next Update: Sunday, May 5, 2024 12:00 PM CDT

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WILLENBRING, MARK LEON
Practice Address: PATH MEDICAL HEALTH
4470 SUNSET BLVD
LOS ANGLES CA

Address last updated on 3/21/2022
Phone #: (202) 379-6736
Fax #:
County: NOT OKLAHOMA
License: 39142
Dated: 1/31/2022
Expires: 1/1/2024
License Type: Medical Doctor
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
CME Year: 2025
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:
PATH MEDICAL HEALTH
4470 SUNSET BLVD
LOS ANGLES CA

Phone #: (202) 379-6736
Fax #:

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