MATHIS, MICHAEL ALLEN - Licensee Information

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Last Update: Thursday, April 25, 2024 7:02 PM CDT
Next Update: Friday, April 26, 2024 2:50 AM CDT

MATHIS, MICHAEL ALLEN

Practice Address:	SOUTHERN NAZARENE UNIVERSITY 6729 NW 39TH EXPRESSWAY BETHANY OK 73008 Address last updated on 8/26/2023
Phone #:
Fax #:
County:	OKLAHOMA
License:	167
Dated:	4/11/1997
Expires:	8/31/2024
Temp. Ltr. Issued:	8/18/2022
Temp. Ltr. Expires:	9/15/2022
License Type:	Athletic Trainer
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:

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:
SOUTHERN NAZARENE UNIVERSITY 6729 NW 39TH EXPRESSWAY BETHANY OK 73008 Phone #: Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
MICHAEL EDWIN KIEHN	MD	23364

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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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