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Oklahoma Board of Medical Licensure and Supervision

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DAY, CHARLES JOHNNY       
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: RT 4 BOX 990
WAGONER OK 7467-9792

Address last updated on 4/3/2002
Phone #:
Fax #:
County: WAGONER
License: 1193
Dated: 7/12/1984
Expires: 1/31/2001
License Type: Physical Therapist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
7/27/1998 Probation Ended
7/27/1996 Probation
10/1/1993 Revoked License
Board Filings and/or Orders:
07/27/1996
07/27/1996
10/01/1993
08/09/1993
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
RT 4 BOX 990
WAGONER OK 7467-9792

Phone #:
Fax #:

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