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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

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MCDONALD, MATTHEW SHANE       
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: 1620 OKLAHOMA AVE
WOODWARD OK 73801

Address last updated on 7/22/2024
Phone #: (580) 254-8400
Fax #:
County: WOODWARD
License: 5856
Dated: 8/5/2020
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:
1620 OKLAHOMA AVE
WOODWARD OK 73801

Phone #: (580) 254-8400
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
DANA MARIE ALEXANDER TA 314
JACQUELINE DEAN WHETSTONE TA 391

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