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WILLIS, AMANDA LOUISE
Practice Address: 1120 SOUTH UTICA AVENUE
TULSA OK 74104

Address last updated on 9/3/2002
Phone #:
Fax #:
County: TULSA
License: 689
Dated: 9/3/2002
Expires: 3/31/2003
Temp. Ltr. Issued: 5/24/2002
Temp. Ltr. Expires: 9/21/2002
License Type: Provisional Respiratory Care
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:
1120 SOUTH UTICA AVENUE
TULSA OK 74104

Phone #:
Fax #:

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