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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, January 23, 2018 4:23 AM CST
Next Update: Tuesday, January 23, 2018 12:00 PM CST

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CLEVELAND, BENJAMIN JOHNSON
Practice Address: OKLAHOMA BAPTIST UNIVERSITY
500 W UNIVERSITY
SHAWNEE OK 74804

Address last updated on 12/12/2017
Phone #: (251) 623-0135
Fax #:
County: POTTAWATOMIE
License: 911
Dated: 2/23/2016
Expires: 8/31/2018
Temp. Ltr. Issued: 9/3/2015
Temp. Ltr. Expires: 3/31/2016
License Type: Athletic Trainer
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 0
Disciplinary History: No Disciplinary Action Taken.
Locations: Hours: Languages:
OKLAHOMA BAPTIST UNIVERSITY
500 W UNIVERSITY
SHAWNEE OK 74804

Phone #: (251) 623-0135
Fax #:

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