JOHNSON, ODIE III - Licensee Information

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

JOHNSON, ODIE III

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:	OU MEDICAL CENTER 700 NORTH EAST 13TH STREET OKLAHOMA CITY OK 73104 Address last updated on 7/13/2022
Phone #:	(405) 271-4700
Fax #:
County:	OKLAHOMA
License:	114295
Dated:	7/11/2022
Expires:	6/30/2023
License Type:	Physical Therapist
Specialty:

Status:	Inactive
Status Class:	Licensed Under Compact Verify current information on PT Compact site
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:
OU MEDICAL CENTER 700 NORTH EAST 13TH STREET OKLAHOMA CITY OK 73104 Phone #: (405) 271-4700 Fax #:

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