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Oklahoma Board of Medical Licensure and Supervision

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

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LAIRD, JUSTIN JAY       
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: INTERNATIONAL PROFESSIONAL RODEO
1412 S. AGNEW
OKLAHOMA CITY OK 73108

Address last updated on 8/29/2024
Phone #: (405) 235-6540
Fax #:
County: OKLAHOMA
License: 288
Dated: 3/6/2001
Expires: 8/31/2025
Temp. Ltr. Issued: 6/22/2012
Temp. Ltr. Expires: 9/14/2012
License Type: Athletic Trainer
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year:
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
6/26/2014 Administrative Fine
5/6/2014 Complaint Citation
Board Filings and/or Orders:
07/03/2014
05/02/2014
05/02/2014
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
INTERNATIONAL PROFESSIONAL RODEO
1412 S. AGNEW
OKLAHOMA CITY OK 73108

Phone #: (405) 235-6540
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
M. SEAN O'BRIEN DO 3481

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