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Oklahoma Board of Medical Licensure and Supervision

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CRABB, JOHNATHAN BUHLER       
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: 1200 W LIBERTY ROAD
ATOKA OK 74525

Address last updated on 5/16/2013
Phone #:
Fax #:
County: ATOKA
License: 2342
Dated: 4/3/1995
Expires: 1/31/2014
Temp. Ltr. Issued: 1/23/1995
Temp. Ltr. Expires: 3/25/1995
License Type: Physical Therapist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2014
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
3/8/2012 Probation
3/8/2012 Suspension, License
2/21/2012 Complaint Citation
Board Filings and/or Orders:
03/08/2012
02/17/2012
02/17/2012
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
1200 W LIBERTY ROAD
ATOKA OK 74525

Phone #:
Fax #:

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