GONZALEZ, DAVID RUSSELL - Licensee Information

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

GONZALEZ, DAVID RUSSELL

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:	THE UNIVERSITY OF CENTRAL OKLAHOMA 100 NORTH UNIVERSITY DRIVE BOX 190 SPORTS MEDICINE DEPARTMENT EDMOND OK 73034-5207 Address last updated on 8/18/2024
Phone #:	(405) 974-2000 x2188
Fax #:	(405) 974-3876
County:	OKLAHOMA
License:	202
Dated:	12/23/1996
Expires:	8/31/1999
Temp. Ltr. Issued:	10/17/1996
Temp. Ltr. Expires:	1/1/1997
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:
THE UNIVERSITY OF CENTRAL OKLAHOMA 100 NORTH UNIVERSITY DRIVE BOX 190 SPORTS MEDICINE DEPARTMENT EDMOND OK 73034-5207 Phone #: (405) 974-2000 x2188 Fax #: (405) 974-3876

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