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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, April 24, 2024 3:08 PM CDT
Next Update: Thursday, April 25, 2024 2:50 AM CDT

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FOSTER, BRENT SHANE
Practice Address: 224 S. BRADY ST.
SUITE 109
CLAREMORE OK 74017

Address last updated on 12/3/2023
Phone #: (918) 923-4700
Fax #: (918) 923-4701
County: ROGERS
License: 3812
Dated: 11/14/2005
Expires: 1/31/2025
Temp. Ltr. Issued: 5/27/2005
Temp. Ltr. Expires: 2/1/2006
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:
224 S. BRADY ST.
SUITE 109
CLAREMORE OK 74017

Phone #: (918) 923-4700
Fax #: (918) 923-4701
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
AMY REBECCA HAMILTON TA 1109
ANTHONY PAUL MILLER TA 3360
KELLY MARIE SWAN TA 1353

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