GREEN, MARK RYAN - Licensee Information

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Last Update: Sunday, April 28, 2024 4:03 AM CDT
Next Update: Sunday, April 28, 2024 12:00 PM CDT

GREEN, MARK RYAN

Practice Address:	SPORTS ORTHOPEDIC AND SPINE THERAPY 169 BENT TREE LOOP HAUGHTON LA 71037 Address last updated on 1/30/2019
Phone #:	(318) 455-0211
Fax #:
County:	NOT OKLAHOMA
License:	5590
Dated:	10/10/2018
Expires:	1/31/2019
License Type:	Physical Therapist
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
CME Year:	2020

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:
SPORTS ORTHOPEDIC AND SPINE THERAPY 169 BENT TREE LOOP HAUGHTON LA 71037 Phone #: (318) 455-0211 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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