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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, October 16, 2018 5:24 PM CDT
Next Update: Wednesday, October 17, 2018 2:50 AM CDT

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EASTERLY, PHILLIP WILLIAM
Practice Address: UNIVERSITY OF CENTRAL OKLAHOMA
100 NORTH UNIVERSITY DRIVE
EDMOND OK 73034

Address last updated on 7/5/2016
Phone #: (405) 974-2959
Fax #:
County: OKLAHOMA
License: 494
Dated: 9/16/2010
Expires: 8/31/2012
Temp. Ltr. Issued: 7/22/2010
Temp. Ltr. Expires: 9/16/2010
License Type: Apprentice Athletic Trainer
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 0
Disciplinary History: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
UNIVERSITY OF CENTRAL OKLAHOMA
100 NORTH UNIVERSITY DRIVE
EDMOND OK 73034

Phone #: (405) 974-2959
Fax #:

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