ERVIN, KEENAN DALE - Licensee Information

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Last Update: Friday, April 19, 2024 6:57 PM CDT
Next Update: Saturday, April 20, 2024 2:50 AM CDT

ERVIN, KEENAN DALE

Practice Address:	ACHILLE ISD 101 N 5TH AVE ACHILLE OK 74720 Address last updated on 8/1/2023
Phone #:	(580) 434-2003
Fax #:
County:	BRYAN
License:	963
Dated:	9/15/2016
Expires:	8/31/2024
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:
ACHILLE ISD 101 N 5TH AVE ACHILLE OK 74720 Phone #: (580) 434-2003 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
STEPHEN KHOURY	DO	3769

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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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