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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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BAKKUM, ALLISON MICHELLE       
Practice Address: 1717B S. UTICA AVE
SUITE 105
TULSA OK 74104

Address last updated on 1/10/2024
Phone #: (918) 744-2162
Fax #: (918) 744-3562
County: TULSA
License: 30
Dated: 4/14/2021
Expires: 1/31/2022
License Type: Provisionally Licensed Perfusionist
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:
1717B S. UTICA AVE
SUITE 105
TULSA OK 74104

Phone #: (918) 744-2162
Fax #: (918) 744-3562

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