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Oklahoma Board of Medical Licensure and Supervision

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JOHNSON, MONIQUE MARIE       
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: AUREUS- COMANCHE COUNTY MEMORAL HOSPITAL
3401 W GORE BLVD
LAWTON OK 73505

Address last updated on 12/6/2014
Phone #: (402) 891-1118 x6455
Fax #:
County: COMANCHE
License: 4929
Dated: 2/25/2015
Expires: 1/31/2016
Temp. Ltr. Issued: 12/18/2014
Temp. Ltr. Expires: 3/13/2015
License Type: Physical Therapist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2018
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:
AUREUS- COMANCHE COUNTY MEMORAL HOSPITAL
3401 W GORE BLVD
LAWTON OK 73505

Phone #: (402) 891-1118 x6455
Fax #:

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