PETERSEN, DONITA L - Licensee Information

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Last Update: Saturday, May 18, 2024 7:03 PM CDT
Next Update: Sunday, May 19, 2024 2:50 AM CDT

PETERSEN, DONITA L

Practice Address:	SELF-EMPLOYED 5622 N. PORTLAND #250 OKLAHOMA CITY OK 73112 Address last updated on 1/17/2013
Phone #:	(405) 946-4150
Fax #:	(405) 946-4150
County:	OKLAHOMA
License:	587
Dated:	8/20/1975
Expires:	1/31/2014
License Type:	Physical Therapist
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
CME Year:	2014

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:
SELF-EMPLOYED 5622 N. PORTLAND #250 OKLAHOMA CITY OK 73112 Phone #: (405) 946-4150 Fax #: (405) 946-4150

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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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