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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, March 22, 2019 1:31 PM CDT
Next Update: Friday, March 22, 2019 4:30 PM CDT

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SEYBOLD, SAMUEL GRANT
Practice Address: A
GUTHRIE OK 73044

Address last updated on 2/28/2019
Phone #:
Fax #:
County: LOGAN
License: 4184
Dated: 8/6/2009
Expires: 1/31/2018
License Type: Physical Therapist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2018
Disciplinary History:
Date Action Reasons Remarks
6/29/2017 Probation 3 year probation
4/1/2017 Suspension, License Suspended for 90 days.
3/27/2017 Voluntary Submittal to Jurisdiction License suspended for 90 days. After suspension, licensee will be placed on probation for a period of 3 years.
6/21/2016 Complaint Citation Failure To Maintain Records
Falsifying Patient Records
Board Orders:
03/29/2017
06/21/2016
06/21/2016
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
A
GUTHRIE OK 73044

Phone #:
Fax #:

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