LONG, MARIANNE - Licensee Information - Oklahoma Medical Board

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Last Update: Thursday, April 18, 2024 4:01 PM CDT
Next Update: Friday, April 19, 2024 2:50 AM CDT

LONG, MARIANNE

Practice Address:	11705 N MERIDIAN PL APT B OKLAHOMA CITY OK 73162
Phone #:
Fax #:
County:	OKLAHOMA
License:	639
Dated:	6/26/1993
Expires:	3/31/1995
Temp. Ltr. Issued:	12/17/1992
Temp. Ltr. Expires:	6/26/1993
License Type:	Physician 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:
11705 N MERIDIAN PL APT B OKLAHOMA CITY OK 73162 Phone #: 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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