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SISCO, TIM J
Practice Address: EASTERN OKLAHOMA MEDICAL CTR
105 WALL ST
POTEAU OK 74953

Address last updated on 11/6/2017
Phone #: (918) 647-8161
Fax #:
County: LEFLORE
License: 564
Dated: 11/17/1995
Expires: 11/30/2019
Temp. Ltr. Issued: 2/20/2003
Temp. Ltr. Expires: 7/31/2003
License Type: Respiratory Care Practitioner
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:
EASTERN OKLAHOMA MEDICAL CTR
105 WALL ST
POTEAU OK 74953

Phone #: (918) 647-8161
Fax #:

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