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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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SMITH, BONNIE RAE       
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: MANGUM CITY HOSPITAL
2100 N LOUIS TITTLE
MANGUM OK 73554-4604

Address last updated on 12/5/2006
Phone #: (580) 782-3353
Fax #:
County: GREER
License: 1543
Dated: 12/2/1988
Expires: 1/31/2015
License Type: Physical Therapist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2016
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:
MANGUM CITY HOSPITAL
2100 N LOUIS TITTLE
MANGUM OK 73554-4604

Phone #: (580) 782-3353
Fax #:

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