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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Sunday, November 17, 2024 12:00 PM CST

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LIVELY, BRIAN       
Practice Address: 4050 WEST MEMORIAL ROAD
OKLAHOMA CITY OK 73120

Address last updated on 12/6/2023
Phone #:
Fax #:
County: OKLAHOMA
License: 33
Dated: 5/4/2021
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:
4050 WEST MEMORIAL ROAD
OKLAHOMA CITY OK 73120

Phone #:
Fax #:

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