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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, April 25, 2024 2:50 AM CDT

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ALTIS, CANDICE FAWN
Practice Address: 351 S 40TH ST
MUSKOGEE OK 74401

Address last updated on 8/1/2013
Phone #: (918) 682-6161
Fax #:
County: MUSKOGEE
License: 1489
Dated: 9/5/2013
Expires: 3/31/2014
Temp. Ltr. Issued: 5/24/2013
Temp. Ltr. Expires: 9/13/2013
License Type: Provisional Respiratory Care
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:
351 S 40TH ST
MUSKOGEE OK 74401

Phone #: (918) 682-6161
Fax #:

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