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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 25, 2024 3:48 AM CST
Next Update: Wednesday, December 25, 2024 12:00 PM CST

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MAYES, BRANDON       
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: 200 S ACADEMY ROAD
GUTHRIE OK 73044

Address last updated on 1/1/2024
Phone #: (405) 260-4213
Fax #:
County: LOGAN
License: 3944
Dated: 8/24/2006
Expires: 1/31/2025
Temp. Ltr. Issued: 6/8/2006
Temp. Ltr. Expires: 9/23/2006
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:
200 S ACADEMY ROAD
GUTHRIE OK 73044

Phone #: (405) 260-4213
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
DOROTHY ELAINE LATHAM TA 572

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