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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 6:44 PM CST
Next Update: Tuesday, December 24, 2024 2:50 AM CST

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BROBSTON, MICHAEL JOHN       
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: SOUTHERN NAZARENE UNIVERSITY
6729 NORTHWEST 39TH EXPRESSWAY
BETHANY OK 73008

Address last updated on 8/30/2024
Phone #: (405) 717-6256
Fax #:
County: OKLAHOMA
License: 520
Dated: 2/29/2008
Expires: 8/31/2025
Temp. Ltr. Issued: 11/30/2007
Temp. Ltr. Expires: 3/15/2008
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:
SOUTHERN NAZARENE UNIVERSITY
6729 NORTHWEST 39TH EXPRESSWAY
BETHANY OK 73008

Phone #: (405) 717-6256
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
MICHAEL EDWIN KIEHN MD 23364

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