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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, December 24, 2024 1:13 PM CST
Next Update: Tuesday, December 24, 2024 4:30 PM CST

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HACKEROTT, ALEXANDER PATRICK       
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: 9540 N GARNETT RD
OWASSO OK 74055

Address last updated on 6/5/2023
Phone #: (918) 609-1300
Fax #:
County: TULSA
License: 6323
Dated: 6/1/2023
Expires: 1/31/2024
License Type: Physical Therapist
Specialty:
Status: Inactive
Status Class: Expired License
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:
9540 N GARNETT RD
OWASSO OK 74055

Phone #: (918) 609-1300
Fax #:

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