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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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SEYBOLD, SAMUEL GRANT       
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: A
GUTHRIE OK 73044

Address last updated on 2/28/2019
Phone #:
Fax #:
County: LOGAN
License: 4184
Dated: 8/6/2009
Expires: 1/31/2018
License Type: Physical Therapist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2020
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
6/29/2017 Probation
4/1/2017 Suspension, License
3/27/2017 Voluntary Submittal to Jurisdiction
6/21/2016 Complaint Citation
Board Filings and/or Orders:
03/29/2017
06/21/2016
06/21/2016
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
A
GUTHRIE OK 73044

Phone #:
Fax #:

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