GODDARD, PENNY DENISE - Licensee Information

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GODDARD, PENNY DENISE

Practice Address:	MIDWEST CITY REGIONAL HOSPITAL 2825 PARKLAWN DRIVE MIDWEST CITY OK 73110 Address last updated on 12/23/1999
Phone #:
Fax #:
County:	OKLAHOMA
License:	295
Dated:	11/20/1993
Expires:	1/31/1998
Temp. Ltr. Issued:	10/1/1993
Temp. Ltr. Expires:	11/20/1993
License Type:	Physical Therapist Assistant
Specialty:

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

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:
MIDWEST CITY REGIONAL HOSPITAL 2825 PARKLAWN DRIVE MIDWEST CITY OK 73110 Phone #: 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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