LEATHERMAN, MYLIE BROOKE - Licensee Information

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Last Update: Sunday, April 28, 2024 4:03 AM CDT
Next Update: Sunday, April 28, 2024 12:00 PM CDT

LEATHERMAN, MYLIE BROOKE

Practice Address:	Not Practicing as of 9/3/2019 Address last updated on 8/29/2023
Phone #:
Fax #:
County:	NOT OKLAHOMA
License:	1035
Dated:	9/28/2018
Expires:	8/31/2024
License Type:	Athletic Trainer
Specialty:

Status:	Active
Status Class:	Not Practicing
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:
Not Practicing as of 9/3/2019 Phone #: Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
BRADFORD LEE BOONE	MD	17634

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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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