MOSES, SHANE RONALD - Licensee Information

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Next Update: Monday, April 29, 2024 2:50 AM CDT

MOSES, SHANE RONALD

Practice Address:	NATIONAL FOOT SPECIALIST 2117 N BEECH AVE BROKEN ARROW OK 74012 Address last updated on 3/9/2006
Phone #:	(918) 626-0010
Fax #:
County:	TULSA
License:	76
Dated:	3/9/2006
Expires:	1/31/2007
Temp. Ltr. Issued:	1/5/2006
Temp. Ltr. Expires:	3/11/2006
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:
NATIONAL FOOT SPECIALIST 2117 N BEECH AVE BROKEN ARROW OK 74012 Phone #: (918) 626-0010 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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