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Next Update: Sunday, May 5, 2024 12:00 PM CDT
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|
BROUSSARD, ANDREA L |
| Practice Address: |
ST JOHN MEDICAL CENTER
1923 S UTICA AVE
TULSA OK 78723
Address last updated on 2/3/2020 |
| Phone #: |
(918) 852-7482 |
| Fax #: |
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| County: |
TULSA |
| License: |
5420 |
| Dated: |
2/4/2020 |
| Expires: |
10/31/2021 |
|
Temp.
Ltr.
Issued:
|
2/3/2020 |
|
Temp.
Ltr.
Expires:
|
3/5/2020 |
| License Type: |
Occupational Therapist |
| Specialty: |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| CME Year: |
2022 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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