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Oklahoma Board of Medical Licensure and Supervision

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FAULKNER, LANCE ELIOT       
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: PROSTHETIC DESIGNS OF OK
322 W MACARTHUR
SHAWNEE OK 74804

Address last updated on 3/11/2005
Phone #: (405) 214-1924
Fax #:
County: POTTAWATOMIE
License: 2
Dated: 3/11/2005
Expires: 9/5/2010
License Type: Provisionally Licensed Prosthetist/Orthotist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to: Alternative Qualifications Contract
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:
PROSTHETIC DESIGNS OF OK
322 W MACARTHUR
SHAWNEE OK 74804

Phone #: (405) 214-1924
Fax #:

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