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Oklahoma Board of Medical Licensure and Supervision

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DRAKE, TIMOTHY DANIEL       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: PHILLIPS UNIVERSITY
100 S UNIVERSITY AVE
ENID OK 73701
Phone #:
Fax #:
County: GARFIELD
License: 165
Dated: 11/19/1994
Expires: 10/1/1997
Temp. Ltr. Issued: 10/20/1994
Temp. Ltr. Expires: 11/19/1994
License Type: Apprentice Athletic Trainer
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
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:
PHILLIPS UNIVERSITY
100 S UNIVERSITY AVE
ENID OK 73701

Phone #:
Fax #:

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