JOHNSON, SIMONNE CHANTAL - Licensee Information

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Last Update: Monday, May 6, 2024 4:03 AM CDT
Next Update: Monday, May 6, 2024 12:00 PM CDT

JOHNSON, SIMONNE CHANTAL

Practice Address:	OSOI 13401 W WESTERN # 301 OKLAHOMA CITY OK 73114 Address last updated on 7/3/2023
Phone #:	(405) 218-2530
Fax #:
County:	OKLAHOMA
License:	1299
Dated:	9/1/2022
Expires:	8/31/2024
Temp. Ltr. Issued:	7/28/2022
Temp. Ltr. Expires:	9/15/2022
License Type:	Athletic Trainer
Specialty:

Status:	Active
Status Class:	Fully Licensed
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:
OSOI 13401 W WESTERN # 301 OKLAHOMA CITY OK 73114 Phone #: (405) 218-2530 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
SEETHAL RAO MADHAVARAPU	MD	23053

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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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