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Last Update: Wednesday, May 8, 2024 2:28 PM CDT
Next Update: Wednesday, May 8, 2024 4:30 PM CDT
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ANDERSON, TRACY SHANNON View on
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| Practice Address: |
UPTOWN PHARMACY
9515 N MAY AVENUE
THE VILLAGE OK 73120
Address last updated on 12/19/2022 |
| Phone #: |
(405) 286-9080 |
| Fax #: |
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| County: |
OKLAHOMA |
| License: |
114 |
| Dated: |
10/19/2009 |
| Expires: |
1/31/2024 |
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Temp.
Ltr.
Issued:
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9/29/2009 |
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Temp.
Ltr.
Expires:
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11/20/2009 |
| License Type: |
Licensed Pedorthist |
| Specialty: |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| CME Year: |
0 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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