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JOHNSON, AMY MARIE       
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: MCBRIDE CLINIC
400 N BRYANT
EDMOND OK 73034

Address last updated on 2/25/2005
Phone #: (405) 340-7383
Fax #:
County: OKLAHOMA
License: 420
Dated: 2/25/2005
Expires: 8/31/2005
Temp. Ltr. Issued: 10/21/2004
Temp. Ltr. Expires: 3/12/2005
License Type: Athletic Trainer
Specialty:
Status: Inactive
Status Class: Expired License
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:
MCBRIDE CLINIC
400 N BRYANT
EDMOND OK 73034

Phone #: (405) 340-7383
Fax #:

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