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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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KLINE, JACOB CRANDELL       
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: 105 MEDFORD DR
DARLINGTON SC 29532

Address last updated on 12/18/2023
Phone #: (252) 626-0424
Fax #:
County: NOT OKLAHOMA
License: 126362
Dated: 12/5/2023
Expires: 10/31/2024
License Type: Physical Therapist Assistant
Specialty:
Status: Inactive
Status Class: Licensed Under Compact
Verify current information on PT Compact site
Restricted to:
CME Year: 0
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:
105 MEDFORD DR
DARLINGTON SC 29532

Phone #: (252) 626-0424
Fax #:

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