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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, April 29, 2024 10:43 AM CDT
Next Update: Monday, April 29, 2024 12:00 PM CDT

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MALLOY, SAMONE
Practice Address: ST. JOHN SAPULPA
1004 E BRYAN
SAPULPA OK 74066

Address last updated on 1/26/2024
Phone #: (918) 227-8607
Fax #: (918) 224-9227
County: CREEK
License: 4695
Dated: 11/7/2013
Expires: 1/31/2025
Temp. Ltr. Issued: 9/26/2013
Temp. Ltr. Expires: 1/16/2014
License Type: Physical Therapist
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2026
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 SAPULPA
1004 E BRYAN
SAPULPA OK 74066

Phone #: (918) 227-8607
Fax #: (918) 224-9227
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
SUSAN ELAINE MARTIN TA 822
SUSAN ELAINE MARTIN TA 822

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