GILL, LISSA LYNNE - Licensee Information

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
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GILL, LISSA LYNNE

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:	HOLT KROCK CLINIC 1500 DODSON FORT SMITH AR 73903
Phone #:
Fax #:
County:	NOT OKLAHOMA
License:	1359
Dated:	9/6/1986
Expires:	1/31/1997
License Type:	Physical Therapist
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
CME Year:

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:
HOLT KROCK CLINIC 1500 DODSON FORT SMITH AR 73903 Phone #: Fax #:

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