PETERSON, HEIDI JILL - Licensee Information

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Last Update: Saturday, May 4, 2024 6:58 PM CDT
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PETERSON, HEIDI JILL

Practice Address:	PRESB HSP CNTR ATHL(TO 8/12) AUG 12,OCU ATHLETIC DEPT NW 23 & BLACKWELDER OKLAHOMA CITY OK 73106 Address last updated on 12/23/1999
Phone #:
Fax #:
County:	OKLAHOMA
License:	26
Dated:	5/25/1985
Expires:	8/31/1985
License Type:	Athletic Trainer
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:
PRESB HSP CNTR ATHL(TO 8/12) AUG 12,OCU ATHLETIC DEPT NW 23 & BLACKWELDER OKLAHOMA CITY OK 73106 Phone #: 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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