SELLING, GLEN ZACKERY - Licensee Information

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SELLING, GLEN ZACKERY

Practice Address:	No Current Practice Address OK Address last updated on 10/21/2013
Phone #:
Fax #:
County:	NOT OKLAHOMA
License:	3556
Dated:	7/25/2002
Expires:	12/8/2013
Temp. Ltr. Issued:	5/30/2002
Temp. Ltr. Expires:	9/21/2002
License Type:	Physical Therapist
Specialty:

Status:	Inactive
Status Class:	Deceased
Restricted to:
CME Year:	2014

Pending and/or Past Disciplinary Actions:

Date

Action

Reasons

Remarks

3/30/2012

Complaint Citation

#1/1/1900#

Past Disciplinary Action

#1/1/1900#

Past Disciplinary Action

Board Filings and/or Orders:
09/13/2012
03/29/2012
03/29/2012

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

Locations:	Hours:	Languages:
No Current Practice Address OK 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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