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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, September 26, 2024 6:51 PM CDT
Next Update: Friday, September 27, 2024 2:50 AM CDT

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GERLT, TODD RYAN       
Practice Address: OKLAHOMA STATE UNIVERSITY
170 ATHLETICS CENTER
STILLWATER OK 74078

Address last updated on 8/26/2024
Phone #: (405) 744-7416
Fax #:
County: PAYNE
License: 512
Dated: 10/5/2007
Expires: 8/31/2025
License Type: Athletic Trainer
Specialty:
Status: Active
Status Class: Fully Licensed
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 STATE UNIVERSITY
170 ATHLETICS CENTER
STILLWATER OK 74078

Phone #: (405) 744-7416
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
VAL GENE IVEN MD 17462
Jason R. Moore DO 6450

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