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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, November 4, 2024 1:08 PM CST
Next Update: Tuesday, November 5, 2024 4:30 PM CST

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JOHNSON, SIMONNE CHANTAL       
Practice Address: OSOI
13401 W WESTERN # 301
OKLAHOMA CITY OK 73114

Address last updated on 7/15/2024
Phone #: (405) 218-2530
Fax #:
County: OKLAHOMA
License: 1299
Dated: 9/1/2022
Expires: 8/31/2025
Temp. Ltr. Issued: 7/28/2022
Temp. Ltr. Expires: 9/15/2022
License Type: Athletic Trainer
Specialty:
Status: Active
Status Class: Fully Licensed
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:
OSOI
13401 W WESTERN # 301
OKLAHOMA CITY OK 73114

Phone #: (405) 218-2530
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
SEETHAL RAO MADHAVARAPU MD 23053

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