LONG, EDWARD STANLEY - Licensee Information

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Last Update: Wednesday, May 8, 2024 4:47 AM CDT
Next Update: Wednesday, May 8, 2024 12:00 PM CDT

LONG, EDWARD STANLEY

Practice Address:	ELLIS REHAB SVS 102 GRAND PLAZA GRAND SALINE TX 75140
Phone #:
Fax #:
County:	NOT OKLAHOMA
License:	2411
Dated:	9/7/1995
Expires:	1/31/2000
Temp. Ltr. Issued:	4/3/1995
Temp. Ltr. Expires:	11/4/1995
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:
ELLIS REHAB SVS 102 GRAND PLAZA GRAND SALINE TX 75140 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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