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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, May 4, 2024 6:58 PM CDT
Next Update: Sunday, May 5, 2024 2:50 AM CDT

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WALLACE, LAURIE ANN
Practice Address: 130 LOMA VISTA DRIVE
BURLINGAME CA 94010

Address last updated on 5/19/2020
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 5904
Dated: 5/19/2020
Expires: 6/13/2020
License Type: Physical Therapist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2022
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:
130 LOMA VISTA DRIVE
BURLINGAME CA 94010

Phone #:
Fax #:

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