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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, January 21, 2018 6:13 PM CST
Next Update: Monday, January 22, 2018 2:50 AM CST

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MILLWEE, JOHNATHON DAVID
Practice Address: OKLAHOMA BAPTIST UNIVERSITY
OBU BOX 61171
500 W. UNIVERSITY
SHAWNEE OK 74804

Address last updated on 8/28/2017
Phone #: (405) 585-5351
Fax #:
County: POTTAWATOMIE
License: 579
Dated: 3/7/2013
Expires: 8/31/2014
Temp. Ltr. Issued: 11/16/2012
Temp. Ltr. Expires: 3/8/2013
License Type: Apprentice Athletic Trainer
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to: Written Agreement
CME Year: 0
Disciplinary History: No Disciplinary Action Taken.
Locations: Hours: Languages:
OKLAHOMA BAPTIST UNIVERSITY
OBU BOX 61171
500 W. UNIVERSITY
SHAWNEE OK 74804

Phone #: (405) 585-5351
Fax #:

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