TERADA, KEITA - Licensee Information - Oklahoma Medical Board

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TERADA, KEITA

Practice Address:	NORTHEASTERN STATE UNIVERSITY 600 N GRAND AVE TAHLEQUAH OK 74464 Address last updated on 8/30/2010
Phone #:	(918) 944-3970
Fax #:
County:	CHEROKEE
License:	585
Dated:	9/17/2009
Expires:	8/31/2011
Temp. Ltr. Issued:	9/4/2009
Temp. Ltr. Expires:	9/18/2009
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:
NORTHEASTERN STATE UNIVERSITY 600 N GRAND AVE TAHLEQUAH OK 74464 Phone #: (918) 944-3970 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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