COOPER, ALICIA ANN - Licensee Information

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COOPER, ALICIA ANN

Practice Address:	STEIN ANCILLARY SERVICES 8520 SOUTH 36TH TERRACE FORT SMITH AR 72908 Address last updated on 6/29/2017
Phone #:	(479) 410-1740
Fax #:
County:	NOT OKLAHOMA
License:	1355
Dated:	10/14/2004
Expires:	1/31/2018
Temp. Ltr. Issued:	9/3/2004
Temp. Ltr. Expires:	11/6/2004
License Type:	Physical Therapist Assistant
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
CME Year:	2018

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:
STEIN ANCILLARY SERVICES 8520 SOUTH 36TH TERRACE FORT SMITH AR 72908 Phone #: (479) 410-1740 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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