CHLOUBER, KEITH VAN - Licensee Information

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

CHLOUBER, KEITH VAN

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:	OKLAHOMA CENTER FOR ORTHOPAEDICS 3110 SW 89TH STE. 200C OKLAHOMA CITY OK 73159 Address last updated on 10/14/2024
Phone #:	(405) 759-2663
Fax #:
County:	OKLAHOMA
License:	103
Dated:	11/20/1993
Expires:	8/31/2025
Temp. Ltr. Issued:	6/3/1993
Temp. Ltr. Expires:	11/20/1993
License Type:	Athletic Trainer
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:

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:
OKLAHOMA CENTER FOR ORTHOPAEDICS 3110 SW 89TH STE. 200C OKLAHOMA CITY OK 73159 Phone #: (405) 759-2663 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
M. SEAN O'BRIEN	DO	3481

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