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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, March 27, 2023 6:55 PM CDT
Next Update: Tuesday, March 28, 2023 2:50 AM CDT

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Practice Address: 200 2ND AVE SW
MIAMI OK 74354

Address last updated on 12/9/2022
Phone #: (918) 541-5167
Fax #:
County: OTTAWA
License: 4449
Dated: 8/11/2016
Expires: 8/31/2024
Temp. Ltr. Issued: 7/14/2016
Temp. Ltr. Expires: 9/22/2016
License Type: Respiratory Care Practitioner
Status: Active
Status Class: Fully Licensed
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:
200 2ND AVE SW
MIAMI OK 74354

Phone #: (918) 541-5167
Fax #:

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