MARTIN, AMANDA DEE - Licensee Information

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MARTIN, AMANDA DEE

Practice Address:	SOUTHEAST MISSOURI STATE UNIVERSITY 1 UNIVERSITY PLAZA MS 7000 CAPE GIRARDEAU MO 63701 Address last updated on 8/1/2006
Phone #:	(573) 986-6764
Fax #:
County:	NOT OKLAHOMA
License:	330
Dated:	9/19/2002
Expires:	8/31/2007
Temp. Ltr. Issued:	9/12/2002
Temp. Ltr. Expires:	11/23/2002
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:
SOUTHEAST MISSOURI STATE UNIVERSITY 1 UNIVERSITY PLAZA MS 7000 CAPE GIRARDEAU MO 63701 Phone #: (573) 986-6764 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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