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Oklahoma Board of Medical Licensure and Supervision

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HART, JONATHAN PERRY       
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: SOUTHWESTERN OKLAHOMA STATE UNIVERSITY
100 N CAMPUS DRIVE
WEATHERFORD OK 73096

Address last updated on 8/11/2006
Phone #:
Fax #:
County: CUSTER
License: 442
Dated: 9/22/2005
Expires: 8/31/2007
Temp. Ltr. Issued: 8/25/2005
Temp. Ltr. Expires: 9/24/2005
License Type: Athletic Trainer
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2009
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:
SOUTHWESTERN OKLAHOMA STATE UNIVERSITY
100 N CAMPUS DRIVE
WEATHERFORD OK 73096

Phone #:
Fax #:

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