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KNOWLTON, MALINA ANN       
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: THE GREGORY KISTLER TREATMENT CENTER FOR CHILDREN
3304 SO M
FORT SMITH AR 72903

Address last updated on 11/21/2002
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 465
Dated: 3/16/1998
Expires: 10/31/2003
Temp. Ltr. Issued: 10/4/2002
Temp. Ltr. Expires: 11/23/2002
License Type: Occupational Therapy Assistant
Specialty:
Status: Inactive
Status Class: Expired License
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:
THE GREGORY KISTLER TREATMENT CENTER FOR CHILDREN
3304 SO M
FORT SMITH AR 72903

Phone #:
Fax #:

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