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Next Update: Thursday, April 25, 2024 2:50 AM CDT
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WALLACE, AMBER BREANNA |
| Practice Address: |
INTEGRIS GROVE GENERAL HOSPITAL
1310 SOUTH MAIN
GROVE OK 74345
Address last updated on 12/15/2000 |
| Phone #: |
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| Fax #: |
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| County: |
DELAWARE |
| License: |
562 |
| Dated: |
3/6/2001 |
| Expires: |
9/30/2001 |
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Temp.
Ltr.
Issued:
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12/21/2000 |
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Temp.
Ltr.
Expires:
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3/17/2001 |
| License Type: |
Provisional Respiratory Care |
| Specialty: |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| CME Year: |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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