Last Updated: 12/23/2024 5:22:52 AM
Facility Detail| Corporation / Company Owner Name | |
| Business (DBA) Name | RAPHAEL E. ZIMMER, D.O. |
| License Number | 25-W-879 |
| Facility Type | Wholesale Distributor |
| Address |
602 N DALTON ST |
| City, State, Zip | VALLIANT,OK 74764 |
| Country | |
| Issue Date | 09/20/2001 |
| Renewed Date | 06/07/2005 |
| Expiration Date | 09/30/2006 |
| Renewal Month | |
| End Date | 09/30/2006 |
| Status | CLOSED |
| In Process? | |
Disciplinary
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- ATTENTION NEW REGISTRANTS! Website verification is not an official certificate of registration. You cannot practice in Oklahoma until you have received a letter of registration, renewal or permit from the Board
- WRITTEN VERIFICATION OF LICENSURE (OR LETTER OF GOOD STANDING): There is a $10 fee for a certified verification of license from the Board. Website verification remains free.