GORDON, JUSTIN WAYNE - Licensee Information

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Last Update: Monday, April 29, 2024 7:03 PM CDT
Next Update: Tuesday, April 30, 2024 2:50 AM CDT

GORDON, JUSTIN WAYNE

Practice Address:	MID-AMERICA CHRISTIAN UNIVERSITY 3500 S.W. 119TH ST. OKLAHOMA CITY OK 73170 Address last updated on 8/9/2023
Phone #:	(405) 692-3144
Fax #:
County:	OKLAHOMA
License:	731
Dated:	10/5/2012
Expires:	8/31/2024
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:
MID-AMERICA CHRISTIAN UNIVERSITY 3500 S.W. 119TH ST. OKLAHOMA CITY OK 73170 Phone #: (405) 692-3144 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
M. SEAN O'BRIEN	DO	3481

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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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