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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

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HANZLICK, KALEIGH RENAE       
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 SPORTS & ORTHOPEDICS INSTITUTE
13401 N WESTERN AVE, STE 301
OKLAHOMA CITY OK 73114

Address last updated on 9/11/2024
Phone #: (405) 209-1829
Fax #:
County: OKLAHOMA
License: 1397
Dated:
Expires: 3/20/2025
Temp. Ltr. Issued: 9/12/2024
Temp. Ltr. Expires: 3/20/2025
License Type: Athletic Trainer
Specialty:
Status: Active
Status Class: Temporary
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:
OKLAHOMA SPORTS & ORTHOPEDICS INSTITUTE
13401 N WESTERN AVE, STE 301
OKLAHOMA CITY OK 73114

Phone #: (405) 209-1829
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
TIMOTHY MICHAEL GEIB MD 22888

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