BRUNER, TARA LYNAE - Licensee Information

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BRUNER, TARA LYNAE

Practice Address:	FOUNDATION BARIATRIC HOSPITAL OF OKLAHOMA 1800 RENAISSANCE BLVD #100 EDMOND OK 73013 Address last updated on 3/31/2006
Phone #:
Fax #:
County:	OKLAHOMA
License:	1498
Dated:	4/1/2006
Expires:	3/31/2009
Temp. Ltr. Issued:	1/26/2006
Temp. Ltr. Expires:	5/13/2006
License Type:	Physician Assistant
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:
FOUNDATION BARIATRIC HOSPITAL OF OKLAHOMA 1800 RENAISSANCE BLVD #100 EDMOND OK 73013 Phone #: Fax #:

Hospital Privileges:

None listed

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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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