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Oklahoma Board of Medical Licensure and Supervision

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KRAGH, CHAD ALLEN       
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: SOUTHEASTERN OKLAHOMA STATE UNIVERSITY
1405 N 4TH AVENUE
DURANT OK 74701

Address last updated on 11/21/2002
Phone #: (580) 745-3028
Fax #:
County: BRYAN
License: 337
Dated: 11/21/2002
Expires: 8/31/2003
Temp. Ltr. Issued: 10/24/2002
Temp. Ltr. Expires: 11/23/2002
License Type: Athletic Trainer
Specialty:
Status: Inactive
Status Class: Expired License
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:
SOUTHEASTERN OKLAHOMA STATE UNIVERSITY
1405 N 4TH AVENUE
DURANT OK 74701

Phone #: (580) 745-3028
Fax #:

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