BEAVERS, TRACI LEA - Licensee Information

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BEAVERS, TRACI LEA

Practice Address:	INTEGRATED SPECIALTY HOSPITAL 8210 NATIONAL AVENUE MIDWEST CITY OK 73110
Phone #:
Fax #:
County:	OKLAHOMA
License:	590
Dated:	5/11/2000
Expires:	10/31/2001
Temp. Ltr. Issued:	3/23/2000
Temp. Ltr. Expires:	7/29/2000
License Type:	Occupational Therapy Assistant
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:
INTEGRATED SPECIALTY HOSPITAL 8210 NATIONAL AVENUE MIDWEST CITY OK 73110 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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