HOGAN, JEFFREY MICHAEL - Licensee Information

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Last Update: Tuesday, December 24, 2024 6:44 PM CST
Next Update: Wednesday, December 25, 2024 2:50 AM CST

HOGAN, JEFFREY MICHAEL

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:	HOGAN PHYSICAL THERAPY AND WELLNESS 580 HOUSER DRIVE CHOCTAW OK 73020 Address last updated on 2/15/2024
Phone #:	(405) 225-0931
Fax #:
County:	OKLAHOMA
License:	3849
Dated:	11/14/2005
Expires:	1/31/2025
Temp. Ltr. Issued:	8/5/2005
Temp. Ltr. Expires:	2/1/2006
License Type:	Physical Therapist
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:	2026

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:
HOGAN PHYSICAL THERAPY AND WELLNESS 580 HOUSER DRIVE CHOCTAW OK 73020 Phone #: (405) 225-0931 Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
HOLLY ELIZABETH ELLIOTT	TA	2467
SAMANTHA LYNN PAYNE	TA	2910

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