MCMULLEN, MISTY DAWN - Licensee Information

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

MCMULLEN, MISTY DAWN

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:	ADVANCED ORTHOPEDICS OF OKLAHOMA PLLC 524 W IOLA ST BROKEN ARROW OK 74012 Address last updated on 1/15/2024
Phone #:	(918) 994-5333
Fax #:	(918) 994-5334
County:	TULSA
License:	1453
Dated:	2/1/2006
Expires:	1/31/2025
Temp. Ltr. Issued:	8/25/2005
Temp. Ltr. Expires:	5/17/2006
License Type:	Physical Therapist Assistant
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:
ADVANCED ORTHOPEDICS OF OKLAHOMA PLLC 524 W IOLA ST BROKEN ARROW OK 74012 Phone #: (918) 994-5333 Fax #: (918) 994-5334

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
RONDA LYNN HARRISON	PT	2797

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