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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, April 27, 2024 4:04 AM CDT
Next Update: Saturday, April 27, 2024 12:00 PM CDT

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BERARD, SUSAN KAYE
Practice Address: 1111 N. DEWEY AVE
OKLAHOMA CITY OK 73103-0000

Address last updated on 9/29/2021
Phone #: (405) 979-8080
Fax #:
County: OKLAHOMA
License: 2941
Dated: 9/2/1999
Expires: 1/31/2025
Temp. Ltr. Issued: 6/10/1999
Temp. Ltr. Expires: 9/25/1999
License Type: Physical Therapist
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2026
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:
1111 N. DEWEY AVE
OKLAHOMA CITY OK 73103-0000

Phone #: (405) 979-8080
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JOSEPHINE HAFNER-BONOVICH TA 1145
MITZI JILL MULFORD TA 758

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