LOGAN, TINA MARIE - Licensee Information

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LOGAN, TINA MARIE View on

Practice Address:	JACKSON COUNTY MEMORIAL HOSPITAL 1200 E PECAN ALTUS OK 73521 Address last updated on 2/22/2000
Phone #:
Fax #:
County:	JACKSON
License:	2966
Dated:	11/4/1999
Expires:	1/31/2001
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:
JACKSON COUNTY MEMORIAL HOSPITAL 1200 E PECAN ALTUS OK 73521 Phone #: Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisees(s):
MITZIE LEE EATON	TA	1607

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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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