SHEPARD, LONNIE SHANE - Licensee Information

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SHEPARD, LONNIE SHANE

Practice Address:	9800 NE 26TH STREET OKLAHOMA CITY OK 73141
Phone #:
Fax #:
County:	OKLAHOMA
License:	2632
Dated:	5/15/1997
Expires:	1/31/1998
License Type:	Physical Therapist
Specialty:

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

Pending and/or Past Disciplinary Actions:

Date

Action

Reasons

Remarks

5/15/1997

Probation

Board Filings and/or Orders:
05/15/1997

All information below is entered by the licensee but not verified by the Oklahoma Medical Board.

Locations:	Hours:	Languages:
9800 NE 26TH STREET OKLAHOMA CITY OK 73141 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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