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Next Update: Sunday, November 17, 2024 12:00 PM CST
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JACKSON, CHARLES MACK JR
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| Practice Address: |
ST JOHN SPORTS AND PT
4808 S. 109TH E. AVE.
TULSA OK 74146
Address last updated on 1/10/2012 |
| Phone #: |
(918) 712-1182 |
| Fax #: |
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| County: |
TULSA |
| License: |
2559 |
| Dated: |
9/12/1996 |
| Expires: |
1/31/2013 |
|
Temp.
Ltr.
Issued:
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5/23/1996 |
|
Temp.
Ltr.
Expires:
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9/27/1996 |
| License Type: |
Physical Therapist |
| Specialty: |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| CME Year: |
2014 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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