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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, February 20, 2018 5:44 PM CST
Next Update: Wednesday, February 21, 2018 2:50 AM CST

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EASTERLY, PHILLIP WILLIAM
Practice Address: UNIVERSITY OF CENTRAL OKLAHOMA
100 NORTH UNIVERSITY DRIVE
EDMOND OK 73034

Address last updated on 7/5/2016
Phone #: (405) 974-2167
Fax #:
County: OKLAHOMA
License: 713
Dated: 9/13/2012
Expires: 8/31/2016
Temp. Ltr. Issued: 6/22/2012
Temp. Ltr. Expires: 9/14/2012
License Type: Athletic Trainer
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 0
Disciplinary History: No Disciplinary Action Taken.
Locations: Hours: Languages:
UNIVERSITY OF CENTRAL OKLAHOMA
100 NORTH UNIVERSITY DRIVE
EDMOND OK 73034

Phone #: (405) 974-2167
Fax #:

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