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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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DAVIS, MICHAEL JEROME       
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: THE PROFESSIONAL BASKETBALL CLUB LLC
9600 N. OKLAHOMA AVENUE
OKLAHOMA CITY OK 73114

Address last updated on 2/24/2020
Phone #: (405) 464-9195
Fax #:
County: OKLAHOMA
License: 5209
Dated: 10/28/2016
Expires: 1/31/2021
License Type: Physical Therapist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2023
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:
THE PROFESSIONAL BASKETBALL CLUB LLC
9600 N. OKLAHOMA AVENUE
OKLAHOMA CITY OK 73114

Phone #: (405) 464-9195
Fax #:

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