Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

Last Update: Saturday, January 20, 2018 4:16 AM CST
Next Update: Saturday, January 20, 2018 12:00 PM CST

Return to Search Licensees page

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.
Locations: Hours: Languages:
VA MEDICAL CENTER
921 NE 13TH
OKLAHOMA CITY OK 73104

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

Return to Search Licensees page