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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, April 19, 2024 6:57 PM CDT
Next Update: Saturday, April 20, 2024 2:50 AM CDT

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JACKSON, MATTHEW RYAN
Practice Address: 201 S. SARA ROAD STE 150
MUSTANG OK 73064

Address last updated on 2/3/2021
Phone #: (405) 455-7860
Fax #: (405) 256-6802
County: OKLAHOMA
License: 5157
Dated: 7/29/2016
Expires: 1/31/2022
License Type: Physical Therapist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2022
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:
201 S. SARA ROAD STE 150
MUSTANG OK 73064

Phone #: (405) 455-7860
Fax #: (405) 256-6802

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