WALLACE, DANYEL JOE - Licensee Information

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Last Update: Friday, April 26, 2024 4:03 AM CDT
Next Update: Friday, April 26, 2024 12:00 PM CDT

WALLACE, DANYEL JOE

Practice Address:	MIDWEST REGIONAL MED CTR 2825 PARKLAWN DRIVE MIDWEST CITY OK 73110-4201 Address last updated on 1/31/2001
Phone #:	(405) 610-8094
Fax #:
County:	OKLAHOMA
License:	875
Dated:	8/11/2000
Expires:	1/31/2006
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:
MIDWEST REGIONAL MED CTR 2825 PARKLAWN DRIVE MIDWEST CITY OK 73110-4201 Phone #: (405) 610-8094 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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