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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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KELLER, JOHN DEAN       
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: 1120 S UTICA AVENUE
TULSA OK 74104

Address last updated on 1/27/2024
Phone #: (918) 579-7100
Fax #:
County: TULSA
License: 4841
Dated: 6/5/2014
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:
1120 S UTICA AVENUE
TULSA OK 74104

Phone #: (918) 579-7100
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
SEAN VINCENT WILLIAM GROSSMAN TA 2032

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