CANONIGO, REDENTOR LERIAS - Licensee Information

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Last Update: Friday, April 19, 2024 1:47 PM CDT
Next Update: Friday, April 19, 2024 4:30 PM CDT

CANONIGO, REDENTOR LERIAS

Practice Address:	WASHINGTON REGIONAL MEDICAL CT 1125 NORTH COLLEGE AVENUE FAYETTEVILLE AR 72703
Phone #:
Fax #:
County:	NOT OKLAHOMA
License:	2189
Dated:	6/23/1994
Expires:	1/31/2002
Temp. Ltr. Issued:	4/14/1994
Temp. Ltr. Expires:	7/23/1994
License Type:	Physical Therapist
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:
WASHINGTON REGIONAL MEDICAL CT 1125 NORTH COLLEGE AVENUE FAYETTEVILLE AR 72703 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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