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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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CLARK, RICHARD CARTER       
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: 10TH MEDICAL GROUP
10 AMDS/SGOYP
2355 FACULTY DR. SUITE N 207
USAFA CO 80840

Address last updated on 2/9/2016
Phone #: (719) 333-5055
Fax #: (719) 333-0563
County: NOT OKLAHOMA
License: 3614
Dated: 6/18/2003
Expires: 1/31/2011
License Type: Physical Therapist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2011
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:
10TH MEDICAL GROUP
10 AMDS/SGOYP
2355 FACULTY DR. SUITE N 207
USAFA CO 80840

Phone #: (719) 333-5055
Fax #: (719) 333-0563

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