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MATONE, CHAD DEREK       
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: QUAIL RIDGE LIVING CENTER
RT 4 BOX 148-1
COLCORD OK 74338

Address last updated on 11/9/2001
Phone #: (501) 751-4940
Fax #:
County: DELAWARE
License: 3514
Dated: 2/1/2002
Expires: 1/31/2003
Temp. Ltr. Issued: 11/9/2001
Temp. Ltr. Expires: 3/16/2002
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:
QUAIL RIDGE LIVING CENTER
RT 4 BOX 148-1
COLCORD OK 74338

Phone #: (501) 751-4940
Fax #:

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