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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, December 19, 2024 2:50 AM CST

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JOHNSON, JILL MICHELLE       
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: PARK RIDGE PHYSICAL THERAPY
4202 SW LEE BLVD
BLDG B, SUITE 3
LAWTON OK 73505

Address last updated on 1/10/2000
Phone #: (580) 248-5668
Fax #:
County: COMANCHE
License: 2834
Dated: 11/12/1998
Expires: 1/31/2004
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:
PARK RIDGE PHYSICAL THERAPY
4202 SW LEE BLVD
BLDG B, SUITE 3
LAWTON OK 73505

Phone #: (580) 248-5668
Fax #:

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