WALDON, BRETT A - Licensee Information

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WALDON, BRETT A

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:	LANGSTON UNIVERSITY ATHLETIC DEPARTMENT PO BOX 175 LANGSTON OK 73050 Address last updated on 4/9/2010
Phone #:	(918) 894-8726
Fax #:
County:	LOGAN
License:	602
Dated:	4/9/2010
Expires:	8/31/2011
License Type:	Athletic Trainer
Specialty:

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:
LANGSTON UNIVERSITY ATHLETIC DEPARTMENT PO BOX 175 LANGSTON OK 73050 Phone #: (918) 894-8726 Fax #:

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