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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, May 7, 2024 5:09 PM CDT
Next Update: Wednesday, May 8, 2024 2:50 AM CDT

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MOORE, MICHAEL MADISON
Practice Address: 549 N MUSTANG RD
MUSTANG OK 73064

Address last updated on 3/6/2024
Phone #: (405) 342-0140
Fax #:
County: CANADIAN
License: 6041
Dated: 6/8/2021
Expires: 1/31/2025
License Type: Physical Therapist
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2026
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:
549 N MUSTANG RD
MUSTANG OK 73064

Phone #: (405) 342-0140
Fax #:

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