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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, May 2, 2024 4:48 AM CDT
Next Update: Thursday, May 2, 2024 12:00 PM CDT

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BAUTISTA ENRIQUE, CARLOS
Practice Address: ASCENSION ST. JOHN MEDICAL CENTER - ACUTE REHAB
1923 S UTICA AVE
TULSA OK 74104

Address last updated on 1/15/2024
Phone #: (918) 744-2350
Fax #:
County: TULSA
License: 1073
Dated: 9/1/2018
Expires: 1/30/2021
Temp. Ltr. Issued: 8/13/2018
Temp. Ltr. Expires: 9/13/2018
License Type: 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:
ASCENSION ST. JOHN MEDICAL CENTER - ACUTE REHAB
1923 S UTICA AVE
TULSA OK 74104

Phone #: (918) 744-2350
Fax #:

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