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Oklahoma Board of Medical Licensure and Supervision

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COLLINS, EDYTH MICHELLE
Practice Address: 10701 N ROCKWELL AVE
OKLAHOMA CITY OK 73162

Address last updated on 3/1/2017
Phone #: (405) 470-1500
Fax #:
County: OKLAHOMA
License: 1411
Dated: 1/27/2005
Expires: 3/31/2018
Temp. Ltr. Issued: 12/23/2004
Temp. Ltr. Expires: 4/2/2005
License Type: Physician Assistant
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2018
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:
10701 N ROCKWELL AVE
OKLAHOMA CITY OK 73162

Phone #: (405) 470-1500
Fax #:

Hospital Privileges:

None listed

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