EIDSON, SETH RYAN - Licensee Information

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Last Update: Wednesday, May 1, 2024 4:08 AM CDT
Next Update: Wednesday, May 1, 2024 12:00 PM CDT

EIDSON, SETH RYAN

Practice Address:	OSOI SSM 1110 N LEE SUITE 200 OKLAHOMA CITY OK 73103 Address last updated on 1/11/2024
Phone #:	(405) 885-8195
Fax #:
County:	OKLAHOMA
License:	1287
Dated:	9/1/2022
Expires:	8/31/2024
Temp. Ltr. Issued:	7/5/2022
Temp. Ltr. Expires:	9/15/2022
License Type:	Athletic Trainer
Specialty:

Status:	Active
Status Class:	Fully Licensed
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:
OSOI SSM 1110 N LEE SUITE 200 OKLAHOMA CITY OK 73103 Phone #: (405) 885-8195 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
JOHN LARSON GLOMSET III	MD	29497

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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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