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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 22, 2024 6:42 PM CST
Next Update: Saturday, November 23, 2024 2:50 AM CST

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CLEVELAND, BENJAMIN JOHNSON       
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 BAPTIST UNIVERSITY
500 W UNIVERSITY
SHAWNEE OK 74804

Address last updated on 7/15/2024
Phone #: (405) 585-5351
Fax #:
County: POTTAWATOMIE
License: 911
Dated: 2/23/2016
Expires: 8/31/2025
Temp. Ltr. Issued: 9/3/2015
Temp. Ltr. Expires: 3/31/2016
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 BAPTIST UNIVERSITY
500 W UNIVERSITY
SHAWNEE OK 74804

Phone #: (405) 585-5351
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
RYAN KYLE ALDRICH MD 24496
TIMOTHY MICHAEL GEIB MD 22888

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