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|
MAHAN, THOMAS BENNETT II |
| Practice Address: |
MERCY MEMORIAL HEALTH CENTER
1011 14TH STREET
ARDMORE OK 73401
Address last updated on 3/10/2011 |
| Phone #: |
(580) 220-6551 |
| Fax #: |
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| County: |
CARTER |
| License: |
1336 |
| Dated: |
3/10/2011 |
| Expires: |
9/30/2011 |
|
Temp.
Ltr.
Issued:
|
1/7/2011 |
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Temp.
Ltr.
Expires:
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3/11/2011 |
| License Type: |
Provisional Respiratory Care |
| Specialty: |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| CME Year: |
0 |
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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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