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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, December 19, 2024 2:50 AM CST

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MACK, SUSAN CAMILLE       
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: THUNDERBIRD HOSPITAL
1250 156TH AVE NE
NORMAN OK 73026-9058

Address last updated on 2/6/2001
Phone #: (405) 360-8990
Fax #:
County: CLEVELAND
License: 896
Dated: 7/7/1980
Expires: 1/31/2003
License Type: Physical Therapist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
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:
THUNDERBIRD HOSPITAL
1250 156TH AVE NE
NORMAN OK 73026-9058

Phone #: (405) 360-8990
Fax #:

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