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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, May 18, 2024 4:08 AM CDT
Next Update: Saturday, May 18, 2024 12:00 PM CDT

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SULLIVAN, PENELOPE MICHALE       
Practice Address: No Current Practice Address
Address last updated on 4/7/2022
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 2222
Dated: 2/1/2013
Expires: 1/31/2023
Temp. Ltr. Issued: 12/14/2012
Temp. Ltr. Expires: 3/8/2013
License Type: Physical Therapist Assistant
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2024
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:
No Current Practice Address
Phone #:
Fax #:

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