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Oklahoma Board of Medical Licensure and Supervision

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MILLER, SEAN       
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: PHYSICAL PERFORMANCE CENTER
724 24TH AVE NW
NORMAN OK 73069

Address last updated on 12/1/2012
Phone #: (405) 447-1571
Fax #: (405) 447-1579
County: OKLAHOMA
License: 2777
Dated: 7/31/1998
Expires: 1/31/2014
Temp. Ltr. Issued: 6/15/2006
Temp. Ltr. Expires: 7/23/2006
License Type: Physical Therapist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2014
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:
PHYSICAL PERFORMANCE CENTER
724 24TH AVE NW
NORMAN OK 73069

Phone #: (405) 447-1571
Fax #: (405) 447-1579

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