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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 22, 2024 1:58 PM CST
Next Update: Friday, November 22, 2024 4:30 PM CST

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HEUSMAN, JOHN MARK       
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: 7720 NW 102ND ST.
OKLAHOMA CITY OK 73162

Address last updated on 7/3/2024
Phone #: (405) 818-7910
Fax #:
County: OKLAHOMA
License: 82
Dated: 5/9/1992
Expires: 8/31/2025
Temp. Ltr. Issued: 12/5/1991
Temp. Ltr. Expires: 5/9/1992
License Type: Athletic Trainer
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year:
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:
7720 NW 102ND ST.
OKLAHOMA CITY OK 73162

Phone #: (405) 818-7910
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JAMES CALVIN JOHNSON MD 15302

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