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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, November 17, 2024 3:48 AM CST
Next Update: Sunday, November 17, 2024 12:00 PM CST

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BRIZENDINE, MARK RAY       
Practice Address: 3300 NORTHWEST EXPY
OKLAHOMA CITY OK 73112

Address last updated on 9/26/2023
Phone #: (405) 949-3011
Fax #:
County: OKLAHOMA
License: 1820
Dated: 2/17/2012
Expires: 10/31/2025
Temp. Ltr. Issued: 12/22/2011
Temp. Ltr. Expires: 3/9/2012
License Type: Licensed Dietitian
Specialty:
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:
3300 NORTHWEST EXPY
OKLAHOMA CITY OK 73112

Phone #: (405) 949-3011
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
AUTUMN LEIGH MERILATT PD 889

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