RICO JIMENEZ, MARIELA YESENIA - Licensee Information

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RICO JIMENEZ, MARIELA YESENIA

Practice Address:	OKLAHOMA STATE UNIVERSITY 1046 WEST HALL OF FAME AVE STILLWATER OK 74078 Address last updated on 8/17/2015
Phone #:	(405) 818-7153
Fax #:
County:	PAYNE
License:	631
Dated:	3/4/2014
Expires:	8/31/2016
Temp. Ltr. Issued:	10/18/2013
Temp. Ltr. Expires:	3/28/2014
License Type:	Apprentice Athletic Trainer
Specialty:

Status:	Inactive
Status Class:	Expired License
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:
OKLAHOMA STATE UNIVERSITY 1046 WEST HALL OF FAME AVE STILLWATER OK 74078 Phone #: (405) 818-7153 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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