WILDMAN, MARK FRANCIS - Licensee Information

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WILDMAN, MARK FRANCIS

Practice Address:	LASER SPINE INSTITUTE 4727 GAILLARDIA PARKWAY OKLAHOMA CITY OK 73142 Address last updated on 9/23/2015
Phone #:	(877) 712-6568
Fax #:
County:	OKLAHOMA
License:	2444
Dated:	1/15/2015
Expires:	3/31/2016
Temp. Ltr. Issued:	11/20/2014
Temp. Ltr. Expires:	1/16/2015
License Type:	Physician Assistant
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
CME Year:	2016

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:
LASER SPINE INSTITUTE 4727 GAILLARDIA PARKWAY OKLAHOMA CITY OK 73142 Phone #: (877) 712-6568 Fax #:

Hospital Privileges:

None listed

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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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