SMITH, KELLY WAYNE - Licensee Information

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Last Update: Wednesday, April 24, 2024 9:09 AM CDT
Next Update: Wednesday, April 24, 2024 12:00 PM CDT

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

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:
CLINICAL PERFUSION SYSTEMS 1725 EAST 19TH STREET #604 TULSA OK 74104-5424 Phone #: Fax #:

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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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