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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

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BOLT, MADISON LEIGH       
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 NE 13TH STREET
OKLAHOMA CITY OK 73104

Address last updated on 5/21/2024
Phone #: (405) 694-1206 x41509
Fax #:
County: OKLAHOMA
License: 131137
Dated: 5/7/2024
Expires: 12/31/2025
License Type: Physical Therapist
Specialty:
Status: Active
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 NE 13TH STREET
OKLAHOMA CITY OK 73104

Phone #: (405) 694-1206 x41509
Fax #:

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