CLARK, RICHARD CARTER - Licensee Information

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Last Update: Monday, May 6, 2024 10:17 AM CDT
Next Update: Monday, May 6, 2024 12:00 PM CDT

CLARK, RICHARD CARTER

Practice Address:	10TH MEDICAL GROUP 10 AMDS/SGOYP 2355 FACULTY DR. SUITE N 207 USAFA CO 80840 Address last updated on 2/9/2016
Phone #:	(719) 333-5055
Fax #:	(719) 333-0563
County:	NOT OKLAHOMA
License:	3614
Dated:	6/18/2003
Expires:	1/31/2011
License Type:	Physical Therapist
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
CME Year:	2011

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:
10TH MEDICAL GROUP 10 AMDS/SGOYP 2355 FACULTY DR. SUITE N 207 USAFA CO 80840 Phone #: (719) 333-5055 Fax #: (719) 333-0563

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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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