Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

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

Return to Search Licensees page

PARDEIRO, RAFAEL 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: 236 WILLIAM DR.
ALTUS OK 73521

Address last updated on 8/21/2024
Phone #: (512) 461-1902
Fax #:
County: JACKSON
License: 4049
Dated: 5/10/2007
Expires: 1/31/2025
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:
236 WILLIAM DR.
ALTUS OK 73521

Phone #: (512) 461-1902
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
RUSSELL DEWAYNE BERRY TA 812
MICHELLE DAWN MILNER TA 798
CHRISTOPHER LEE MORTON TA 1874
JEREMY JOSEPH SWANSON TA 1707
LINDSI TILLMAN TA 3121

Return to Search Licensees page