WILLARD, MISTY DAWN - Licensee Information

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Last Update: Wednesday, April 24, 2024 3:08 PM CDT
Next Update: Thursday, April 25, 2024 2:50 AM CDT

WILLARD, MISTY DAWN

Practice Address:	SSM HEALTH ST. ANTHONY HEALTHPLEX SOUTH ER 13500 S. TULSA DRIVE OKLAHOMA CITY OK 73170 Address last updated on 5/7/2023
Phone #:	(405) 815-5600
Fax #:
County:	OKLAHOMA
License:	950
Dated:	2/15/2006
Expires:	2/28/2007
Temp. Ltr. Issued:	1/19/2006
Temp. Ltr. Expires:	3/11/2006
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:
SSM HEALTH ST. ANTHONY HEALTHPLEX SOUTH ER 13500 S. TULSA DRIVE OKLAHOMA CITY OK 73170 Phone #: (405) 815-5600 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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