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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, July 16, 2018 5:16 PM CDT
Next Update: Tuesday, July 17, 2018 2:50 AM CDT

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UNDERWOOD, JOHNNIE DAIL JR
Practice Address: VA MEDICAL CENTER
921 NE 13TH
OKLAHOMA CITY OK 73104

Address last updated on 6/27/2005
Phone #: (405) 270-0501 x5614
Fax #:
County: OKLAHOMA
License: 7
Dated: 6/24/2005
Expires: 12/31/2005
License Type: Provisionally Licensed Orthotist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to: Alternative Qualifications Contract
CME Year: 0
Disciplinary History: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
VA MEDICAL CENTER
921 NE 13TH
OKLAHOMA CITY OK 73104

Phone #: (405) 270-0501 x5614
Fax #:

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