KUKUK, DAWN TERESA - Licensee Information

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Last Update: Tuesday, April 16, 2024 5:06 PM CDT
Next Update: Wednesday, April 17, 2024 2:50 AM CDT

KUKUK, DAWN TERESA

Practice Address:	NOBLE COUNTY HEALTH DEPARTMENT 300 E. FIR STREET PERRY OK 73077-4902 Address last updated on 10/25/2023
Phone #:	(580) 336-2257
Fax #:	(580) 336-2480
County:	NOBLE
License:	326
Dated:	11/1/1999
Expires:	10/31/2000
Temp. Ltr. Issued:	9/2/1999
Temp. Ltr. Expires:	11/6/1999
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:
NOBLE COUNTY HEALTH DEPARTMENT 300 E. FIR STREET PERRY OK 73077-4902 Phone #: (580) 336-2257 Fax #: (580) 336-2480

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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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