FULLER, DAVID MARK - Licensee Information

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Last Update: Thursday, May 16, 2024 3:13 PM CDT
Next Update: Friday, May 17, 2024 2:50 AM CDT

FULLER, DAVID MARK

Practice Address:	SAINT ANTHONY HOSPITAL 1000 NORTH LEE OKLAHOMA CITY OK 73101 Address last updated on 5/5/2019
Phone #:	(405) 272-1725
Fax #:
County:	OKLAHOMA
License:	1663
Dated:	5/9/1991
Expires:	1/31/2020
License Type:	Physical Therapist
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
CME Year:	2020

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:
SAINT ANTHONY HOSPITAL 1000 NORTH LEE OKLAHOMA CITY OK 73101 Phone #: (405) 272-1725 Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
TAMARA ZAID FLEMONS	TA	3102
CARLA SUE GLIDWELL	TA	121
MITZI JILL MULFORD	TA	758

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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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