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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, July 19, 2018 5:17 PM CDT
Next Update: Friday, July 20, 2018 2:50 AM CDT

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SMITH, KELLY WAYNE
Practice Address: CLINICAL PERFUSION SYSTEMS
1725 EAST 19TH STREET #604
TULSA OK 74104-5424

Address last updated on 2/1/2005
Phone #:
Fax #:
County: TULSA
License: 7
Dated: 6/3/2004
Expires: 1/31/2005
License Type: Provisionally Licensed Perfusionist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 0
Disciplinary History: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
CLINICAL PERFUSION SYSTEMS
1725 EAST 19TH STREET #604
TULSA OK 74104-5424

Phone #:
Fax #:

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