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Last Update: Tuesday, March 28, 2023 9:27 AM CDT
Next Update: Tuesday, March 28, 2023 12:00 PM CDT
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|
WALLACE, THOMAS FOSTER JR |
| Practice Address: |
CHICASAW NATION MEDICAL CENTER
1921 STONECIPHER BLVD
ADA OK 74820
Address last updated on 7/2/2021 |
| Phone #: |
(580) 436-3980 |
| Fax #: |
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| County: |
PONTOTOC |
| License: |
2836 |
| Dated: |
7/26/2007 |
| Expires: |
7/31/2023 |
|
Temp.
Ltr.
Issued:
|
2/22/2007 |
|
Temp.
Ltr.
Expires:
|
9/22/2007 |
| License Type: |
Respiratory Care Practitioner |
| Specialty: |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| CME Year: |
0 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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