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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, May 7, 2024 4:48 AM CDT
Next Update: Tuesday, May 7, 2024 12:00 PM CDT

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MOORE, MARK WILBURN
Practice Address: CONCENTRA PHYSICAL THERAPY
801 POINDEXTER STREET
SUITE 218
CHESAPEAKE VA 23324

Address last updated on 1/23/2024
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 3598
Dated: 9/3/2002
Expires: 1/31/2024
Temp. Ltr. Issued: 11/29/2021
Temp. Ltr. Expires: 1/20/2022
License Type: Physical Therapist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2024
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:
CONCENTRA PHYSICAL THERAPY
801 POINDEXTER STREET
SUITE 218
CHESAPEAKE VA 23324

Phone #:
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
CHERIE JEAN ANDERSON TA 3612

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