KNOWLTON, MALINA ANN - Licensee Information

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KNOWLTON, MALINA ANN

Practice Address:	THE GREGORY KISTLER TREATMENT CENTER FOR CHILDREN 3304 SO M FORT SMITH AR 72903 Address last updated on 11/21/2002
Phone #:
Fax #:
County:	NOT OKLAHOMA
License:	465
Dated:	3/16/1998
Expires:	10/31/2003
Temp. Ltr. Issued:	10/4/2002
Temp. Ltr. Expires:	11/23/2002
License Type:	Occupational Therapy Assistant
Specialty:

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

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:
THE GREGORY KISTLER TREATMENT CENTER FOR CHILDREN 3304 SO M FORT SMITH AR 72903 Phone #: 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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