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Next Update: Sunday, April 28, 2024 2:50 AM CDT
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BEANLAND, MADISON ALLEN |
Practice Address: |
415 NORTH MAIN STREET
HOLLIS OK 73550
Address last updated on 12/12/2023 |
Phone #: |
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Fax #: |
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County: |
HARMON |
License: |
3124 |
Dated: |
7/16/2019 |
Expires: |
1/31/2025 |
Temp.
Ltr.
Issued:
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6/18/2019 |
Temp.
Ltr.
Expires:
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11/7/2019 |
License Type: |
Physical Therapist Assistant |
Specialty: |
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Status: |
Active |
Status Class: |
Fully Licensed |
Restricted to: |
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CME Year: |
2026 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Primary Supervisor(s):
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Name: |
Type: |
License Number: |
Full/Part Time: |
BRANDY DAWN AMES
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PT |
4525 |
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