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Oklahoma Board of Medical Licensure and Supervision

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TATE, ANDRE KEITH       
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: SQUARE ONE REHAB
11132 W 76TH TERRACE #2
SHAWNEE KS 66214

Address last updated on 2/28/2000
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 2760
Dated: 5/1/1998
Expires: 1/31/2001
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:
SQUARE ONE REHAB
11132 W 76TH TERRACE #2
SHAWNEE KS 66214

Phone #:
Fax #:

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