COOPER, JUSTIN MARK - Licensee Information

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COOPER, JUSTIN MARK

Practice Address:	CENTRAL STATES ORTHOPEDIC SPECIALISTS 505 S ASPEN AVE BROKEN ARROW OK 74012 Address last updated on 3/30/2013
Phone #:	(918) 994-5333
Fax #:
County:	TULSA
License:	4311
Dated:	7/9/2010
Expires:	1/31/2014
Temp. Ltr. Issued:	5/29/2010
Temp. Ltr. Expires:	9/16/2010
License Type:	Physical Therapist
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
CME Year:	2014

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:
CENTRAL STATES ORTHOPEDIC SPECIALISTS 505 S ASPEN AVE BROKEN ARROW OK 74012 Phone #: (918) 994-5333 Fax #:

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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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