LONG, MATHIES ALAN - Licensee Information

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Next Update: Thursday, April 18, 2024 2:50 AM CDT

LONG, MATHIES ALAN

Practice Address:	OKLAHOMA STATE UNIVERSITY 170 ATHLETIC CENTER STILLWATER OK 74077 Address last updated on 9/15/2011
Phone #:	(405) 744-6465
Fax #:
County:	PAYNE
License:	533
Dated:	9/15/2011
Expires:	8/31/2012
Temp. Ltr. Issued:	4/29/2011
Temp. Ltr. Expires:	9/16/2011
License Type:	Apprentice Athletic Trainer
Specialty:

Status:	Inactive
Status Class:	Expired License
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:
OKLAHOMA STATE UNIVERSITY 170 ATHLETIC CENTER STILLWATER OK 74077 Phone #: (405) 744-6465 Fax #:

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Oklahoma State Board of Medical Licensure and Supervision :: 101 NE 51st St, Oklahoma City, OK 73105-1821
Main Number: (405) 962-1400 :: Fax: (405) 962-1440 :: Complaints outside 405 area code: 1-800-381-4519
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