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Oklahoma Board of Medical Licensure and Supervision

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SHEPARD, LONNIE SHANE       
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: 9800 NE 26TH STREET
OKLAHOMA CITY OK 73141
Phone #:
Fax #:
County: OKLAHOMA
License: 2632
Dated: 5/15/1997
Expires: 1/31/1998
License Type: Physical Therapist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
5/15/1997 Probation
Board Filings and/or Orders:
05/15/1997
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
9800 NE 26TH STREET
OKLAHOMA CITY OK 73141

Phone #:
Fax #:

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