LONG, SYDNEY H - Licensee Information - Oklahoma Medical Board

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

LONG, SYDNEY H

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:	ALLIANCEHEALTH DURANT 1800 UNIVERSITY BLVD DURANT OK 74701 Address last updated on 9/4/2024
Phone #:	(580) 924-3080
Fax #:
County:	BRYAN
License:	1022
Dated:	6/25/1982
Expires:	1/31/2025
License Type:	Physical Therapist
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:	2026

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:
ALLIANCEHEALTH DURANT 1800 UNIVERSITY BLVD DURANT OK 74701 Phone #: (580) 924-3080 Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
ANDREA LEIGH BAIRD	TA	1721
SANDRA MAE BREVIESCAS COLE	TA	2843
KATHLEEN ALISON EASTWOOD	TA	2855

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