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Oklahoma Board of Medical Licensure and Supervision

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SULLIVAN, PATRICK RYAN       
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: REDBUD PHYYSICAL THERAPY
2021 MAHANEY AVE STE 6
TAHLEQUAH OK 74464

Address last updated on 1/29/2020
Phone #: (918) 458-5115
Fax #:
County: CHEROKEE
License: 5802
Dated: 1/21/2020
Expires: 1/31/2021
Temp. Ltr. Issued: 1/2/2020
Temp. Ltr. Expires: 3/5/2020
License Type: Physical Therapist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2022
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:
REDBUD PHYYSICAL THERAPY
2021 MAHANEY AVE STE 6
TAHLEQUAH OK 74464

Phone #: (918) 458-5115
Fax #:

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