WALLACE, RANDY LEE - Licensee Information

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Last Update: Thursday, April 25, 2024 12:02 PM CDT
Next Update: Thursday, April 25, 2024 4:30 PM CDT

WALLACE, RANDY LEE

Practice Address:	NORMAN REGIONAL HOSPITAL 901 NORTH PORTER NORMAN OK 73071 Address last updated on 11/2/2022
Phone #:	(405) 307-5000
Fax #:
County:	CLEVELAND
License:	14
Dated:	11/5/2010
Expires:	11/30/2024
License Type:	Therapeutic Recreation Specialist
Specialty:

Status:	Active
Status Class:	Fully Licensed
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:
NORMAN REGIONAL HOSPITAL 901 NORTH PORTER NORMAN OK 73071 Phone #: (405) 307-5000 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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