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Oklahoma Board of Medical Licensure and Supervision

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WAGNER, LEIGH ALLISON
Practice Address: FOREST HILLS
4300 W HOUSTON
BROKEN ARROW OK 74012

Address last updated on 6/20/2001
Phone #:
Fax #:
County: TULSA
License: 717
Dated: 6/20/2001
Expires: 10/31/2001
Temp. Ltr. Issued: 5/24/2001
Temp. Ltr. Expires: 7/21/2001
License Type: Occupational Therapy Assistant
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:
FOREST HILLS
4300 W HOUSTON
BROKEN ARROW OK 74012

Phone #:
Fax #:

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