CONRAD, MATTHEW LEROY - Licensee Information

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CONRAD, MATTHEW LEROY

Practice Address:	PROGRESSIVE ORTHOTIC & PROSTHETIC SERVICES 9511 E 46TH STREET TULSA OK 74145 Address last updated on 6/27/2005
Phone #:	(918) 663-7077
Fax #:
County:	TULSA
License:	15
Dated:	6/24/2005
Expires:	12/31/2009
Temp. Ltr. Issued:	5/26/2005
Temp. Ltr. Expires:	7/24/2005
License Type:	Registered Prosthetist/Orthotist Assistant
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
CME Year:	0

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:
PROGRESSIVE ORTHOTIC & PROSTHETIC SERVICES 9511 E 46TH STREET TULSA OK 74145 Phone #: (918) 663-7077 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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