BERGMAN, MOLLY ANN - Licensee Information

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BERGMAN, MOLLY ANN

Practice Address:	SSM HOME CARE AT ST. ANTHONY HOSPITAL 1211 NORTH SHARTEL SUITE 1100 OKLAHOMA CITY OK 73103 Address last updated on 6/2/2015
Phone #:	(405) 231-1200
Fax #:
County:	OKLAHOMA
License:	4747
Dated:	9/5/2013
Expires:	1/31/2016
Temp. Ltr. Issued:	5/24/2013
Temp. Ltr. Expires:	9/13/2013
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:
SSM HOME CARE AT ST. ANTHONY HOSPITAL 1211 NORTH SHARTEL SUITE 1100 OKLAHOMA CITY OK 73103 Phone #: (405) 231-1200 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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