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UNDERWOOD, JOHNNIE DAIL JR
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| Practice Address: |
VA MEDICAL CENTER
921 NE 13TH
OKLAHOMA CITY OK 73104
Address last updated on 6/27/2005 |
| Phone #: |
(405) 270-0501 x5614 |
| Fax #: |
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| County: |
OKLAHOMA |
| License: |
7 |
| Dated: |
6/24/2005 |
| Expires: |
12/31/2005 |
| License Type: |
Provisionally Licensed Orthotist |
| Specialty: |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
Alternative Qualifications Contract |
| CME Year: |
0 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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