MARTIN, ANGELIQUE MICHELE - Licensee Information

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Last Update: Friday, April 19, 2024 8:43 AM CDT
Next Update: Friday, April 19, 2024 12:00 PM CDT

MARTIN, ANGELIQUE MICHELE

Practice Address:	THE PERINATAL CENTER 4140 W. MEMORIAL RD SUITE 321 OKLAHOMA CITY OK 73120 Address last updated on 9/5/2023
Phone #:	(405) 748-4726 x1125
Fax #:	(405) 607-8497
County:	OKLAHOMA
License:	270
Dated:	5/22/1997
Expires:	10/31/1998
License Type:	Provisional Dietitian
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:
THE PERINATAL CENTER 4140 W. MEMORIAL RD SUITE 321 OKLAHOMA CITY OK 73120 Phone #: (405) 748-4726 x1125 Fax #: (405) 607-8497

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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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