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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, April 19, 2024 3:09 PM CDT
Next Update: Saturday, April 20, 2024 2:50 AM CDT

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DAVIS, MICHAEL JEROME
Practice Address: THE PROFESSIONAL BASKETBALL CLUB LLC
9600 N. OKLAHOMA AVENUE
OKLAHOMA CITY OK 73114

Address last updated on 2/24/2020
Phone #: (405) 464-9195
Fax #:
County: OKLAHOMA
License: 5209
Dated: 10/28/2016
Expires: 1/31/2021
License Type: Physical Therapist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2023
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:
THE PROFESSIONAL BASKETBALL CLUB LLC
9600 N. OKLAHOMA AVENUE
OKLAHOMA CITY OK 73114

Phone #: (405) 464-9195
Fax #:

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