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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, July 24, 2024 6:54 PM CDT
Next Update: Thursday, July 25, 2024 2:50 AM CDT

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Practice Address: 3219 S 79TH E AVE
TULSA OK 74145

Address last updated on 1/26/2022
Phone #:
Fax #:
County: TULSA
License: 4151
Dated: 9/4/2014
Expires: 1/30/2021
License Type: Respiratory Care Practitioner
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:
3219 S 79TH E AVE
TULSA OK 74145

Phone #:
Fax #:

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