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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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SUSMILCH, MADISON LOUISE
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| Practice Address: |
PHOENIX REHAB
1165 BRENNER RD
SAPULPA OK 74066
Address last updated on 1/28/2024 |
| Phone #: |
(479) 524-3128 |
| Fax #: |
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| County: |
CREEK |
| License: |
3164 |
| Dated: |
10/1/2019 |
| Expires: |
1/31/2022 |
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Temp.
Ltr.
Issued:
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5/23/2019 |
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Temp.
Ltr.
Expires:
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11/7/2019 |
| License Type: |
Physical Therapist Assistant |
| Specialty: |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| CME Year: |
2022 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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