MACKSOUD, DIANE MARIE - Licensee Information

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Last Update: Thursday, April 25, 2024 2:20 PM CDT
Next Update: Thursday, April 25, 2024 4:30 PM CDT

MACKSOUD, DIANE MARIE

Practice Address:	OKLAHOMA CENTER FOR ATHLETES 711 S L YOUNG BLVD OKLAHOMA CITY OK 73119 Address last updated on 5/16/2002
Phone #:
Fax #:
County:	OKLAHOMA
License:	1914
Dated:	9/12/1992
Expires:	1/31/1994
Temp. Ltr. Issued:	6/5/1992
Temp. Ltr. Expires:	9/12/1992
License Type:	Physical Therapist
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
CME Year:

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:
OKLAHOMA CENTER FOR ATHLETES 711 S L YOUNG BLVD OKLAHOMA CITY OK 73119 Phone #: Fax #:

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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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