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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, May 5, 2024 4:03 AM CDT
Next Update: Sunday, May 5, 2024 12:00 PM CDT

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BENEAR, SUSAN WILMA
Practice Address: SPECIALTY PROSTHETICS AND ORTHOTICS OF TULSA
10338 EAST 21ST STREET
TULSA OK 74129

Address last updated on 4/15/2024
Phone #: (918) 832-7768
Fax #:
County: TULSA
License: 25
Dated:
Expires: 9/19/2024
Temp. Ltr. Issued: 4/30/2024
Temp. Ltr. Expires: 9/19/2024
License Type: Registered Prosthetist/Orthotist Assistant
Specialty:
Status: Active
Status Class: Temporary
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:
SPECIALTY PROSTHETICS AND ORTHOTICS OF TULSA
10338 EAST 21ST STREET
TULSA OK 74129

Phone #: (918) 832-7768
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
MICHAEL O'BRIEN FENNER LPO 13

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