WAGNER, MARLO MICHELLE - Licensee Information

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Last Update: Sunday, April 28, 2024 6:57 PM CDT
Next Update: Monday, April 29, 2024 2:50 AM CDT

WAGNER, MARLO MICHELLE

Practice Address:	TULSA VA OUTPATIENT CLINIC 9322 E 41ST ST TULSA OK 74145 Address last updated on 10/10/2006
Phone #:	(918) 764-7209
Fax #:
County:	TULSA
License:	1083
Dated:	11/1/2000
Expires:	10/31/2009
License Type:	Licensed Dietitian
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:
TULSA VA OUTPATIENT CLINIC 9322 E 41ST ST TULSA OK 74145 Phone #: (918) 764-7209 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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