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Oklahoma Board of Medical Licensure and Supervision

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

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SELF, RYAN SCOTT       
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: INTEGRATED C;LINIX
6634 VALERIE DR
OLIVE BRANCH MS 38654

Address last updated on 10/28/2022
Phone #: (803) 602-8086
Fax #:
County: NOT OKLAHOMA
License: 115614
Dated: 10/24/2022
Expires: 6/30/2024
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:
INTEGRATED C;LINIX
6634 VALERIE DR
OLIVE BRANCH MS 38654

Phone #: (803) 602-8086
Fax #:

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