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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, April 29, 2024 7:03 PM CDT
Next Update: Tuesday, April 30, 2024 2:50 AM CDT

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JACKSON CLARK, EBONY DIANE MARIE
Practice Address: 9365 MCKNIGHT RD
PITTSBURGH PA 15237

Address last updated on 12/28/2020
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 5643
Dated: 5/22/2019
Expires: 1/31/2021
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:
9365 MCKNIGHT RD
PITTSBURGH PA 15237

Phone #:
Fax #:

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