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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Tuesday, April 30, 2024 2:50 AM CDT

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BLACK, MATTHEW JOHN
Practice Address: COMMUNITY HOME HEATH
1486 S. ELLIOT
CLAREMORE OK 74019

Address last updated on 1/13/2015
Phone #:
Fax #:
County: OKLAHOMA
License: 4036
Dated: 8/31/2007
Expires: 1/31/2016
Temp. Ltr. Issued: 5/31/2007
Temp. Ltr. Expires: 9/22/2007
License Type: Physical Therapist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2016
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:
COMMUNITY HOME HEATH
1486 S. ELLIOT
CLAREMORE OK 74019

Phone #:
Fax #:

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