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Last Update: Thursday, April 25, 2024 7:02 PM CDT
Next Update: Friday, April 26, 2024 2:50 AM CDT
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BRANNON, MATTHEW KELLY |
Practice Address: |
310 2ND AVE SW
MIAMI OK 74354 - 67
Address last updated on 1/7/2024 |
Phone #: |
(918) 540-7736 |
Fax #: |
(918) 540-7739 |
County: |
OTTAWA |
License: |
245 |
Dated: |
1/5/2000 |
Expires: |
8/31/2024 |
Temp.
Ltr.
Issued:
|
9/24/1999 |
Temp.
Ltr.
Expires:
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1/31/2000 |
License Type: |
Athletic Trainer |
Specialty: |
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Status: |
Active |
Status Class: |
Fully Licensed |
Restricted to: |
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CME Year: |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Primary Supervisor(s):
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Name: |
Type: |
License Number: |
Full/Part Time: |
MUZAFFAR HUSSAIN
|
MD |
23306 |
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