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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Friday, April 19, 2024 12:00 PM CDT

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BERGERON, LAWRENCE EDWARD
Practice Address: 11627 WHITE CROSS
SAN ANTONIO TX 78253

Address last updated on 12/23/1999
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 472
Dated: 8/1/1996
Expires: 1/31/2000
Temp. Ltr. Issued: 5/31/1996
Temp. Ltr. Expires: 9/27/1996
License Type: Physical Therapist Assistant
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:
11627 WHITE CROSS
SAN ANTONIO TX 78253

Phone #:
Fax #:

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