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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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MAEDER, ALBERT RAYMOND IV       
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: 2825 PARKLAWN DR
MIDWEST CITY OK 73110

Address last updated on 12/1/2024
Phone #: (405) 610-8766
Fax #:
County: OKLAHOMA
License: 5666
Dated: 5/23/2019
Expires: 1/31/2026
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:
2825 PARKLAWN DR
MIDWEST CITY OK 73110

Phone #: (405) 610-8766
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JOSEPH HARVEY BALL TA 1709
JENNIFER JO LUTOMSKI TA 679

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