LEGG, CODY ALLEN - Licensee Information

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

LEGG, CODY 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:	OKLAHOMA SPORTS & ORTHODEICS INSTITUTE 13401 N WESTERN SUITE 301 OKLAHOMA CITY OK 73114 Address last updated on 8/15/2024
Phone #:	(580) 760-0749
Fax #:
County:	OKLAHOMA
License:	663
Dated:	10/28/2011
Expires:	8/31/2025
Temp. Ltr. Issued:	9/13/2019
Temp. Ltr. Expires:	3/5/2020
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 SPORTS & ORTHODEICS INSTITUTE 13401 N WESTERN SUITE 301 OKLAHOMA CITY OK 73114 Phone #: (580) 760-0749 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
SEETHAL RAO MADHAVARAPU	MD	23053

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