BAINUM, ERICA JASAWN - Licensee Information

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BAINUM, ERICA JASAWN

Practice Address:	ST JOHN MEDICAL CENTER - ACUTE REHAB 1923 S UTICA AVE TULSA OK 74104 Address last updated on 7/25/2016
Phone #:	(918) 744-2350
Fax #:
County:	TULSA
License:	4522
Dated:	8/30/2011
Expires:	1/31/2017
Temp. Ltr. Issued:	7/14/2011
Temp. Ltr. Expires:	9/16/2011
License Type:	Physical Therapist
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
CME Year:	2018

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:
ST JOHN MEDICAL CENTER - ACUTE REHAB 1923 S UTICA AVE TULSA OK 74104 Phone #: (918) 744-2350 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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