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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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OSTERHOUDT, MARY ANN       
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: 1355 MISTLETOE DRIVE
FORT WORTH TX 76110-1022

Address last updated on 10/30/2018
Phone #: (817) 924-8813
Fax #:
County: NOT OKLAHOMA
License: 1354
Dated: 4/26/1986
Expires: 1/31/2019
License Type: Physical Therapist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2020
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:
1355 MISTLETOE DRIVE
FORT WORTH TX 76110-1022

Phone #: (817) 924-8813
Fax #:

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