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Oklahoma Board of Medical Licensure and Supervision

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MAHLOCH, AMY LEIGH       
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: COMANCHE COUNTY MEMORIAL HOS
3401 WEST GORE BLVD
LAWTON OK 73505
Phone #:
Fax #:
County: COMANCHE
License: 2706
Dated: 11/4/1997
Expires: 1/31/1999
Temp. Ltr. Issued: 6/27/1997
Temp. Ltr. Expires: 11/22/1997
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:
COMANCHE COUNTY MEMORIAL HOS
3401 WEST GORE BLVD
LAWTON OK 73505

Phone #:
Fax #:

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