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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, September 18, 2024 6:52 PM CDT
Next Update: Thursday, September 19, 2024 2:50 AM CDT

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ANDERSON, TRACY SHANNON       
Practice Address: UPTOWN PHARMACY
9515 N MAY AVENUE
THE VILLAGE OK 73120

Address last updated on 12/19/2022
Phone #: (405) 286-9080
Fax #:
County: OKLAHOMA
License: 114
Dated: 10/19/2009
Expires: 1/31/2024
Temp. Ltr. Issued: 9/29/2009
Temp. Ltr. Expires: 11/20/2009
License Type: Licensed Pedorthist
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:
UPTOWN PHARMACY
9515 N MAY AVENUE
THE VILLAGE OK 73120

Phone #: (405) 286-9080
Fax #:

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