JOHNSTON, WALTER TERRY - Licensee Information

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JOHNSTON, WALTER TERRY

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:	MEDICAL SPECIALTY SUPPLY OF OK INC 13654 S WESTERN OKLAHOMA CITY OK 73170 Address last updated on 1/28/2009
Phone #:	(405) 692-7756
Fax #:
County:	OKLAHOMA
License:	75
Dated:	3/9/2006
Expires:	1/31/2012
Temp. Ltr. Issued:	12/15/2005
Temp. Ltr. Expires:	3/11/2006
License Type:	Licensed Pedorthist
Specialty:

Status:	Inactive
Status Class:	Expired License
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:
MEDICAL SPECIALTY SUPPLY OF OK INC 13654 S WESTERN OKLAHOMA CITY OK 73170 Phone #: (405) 692-7756 Fax #:

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