License Information
License Number
043006898Business Name
MARDELL E JOHNSONLicense Type
NURSING BOARDOriginal Issue Date
1970-01-01License Status
NOT RENEWEDCity
MUSKOGEEState
OKCounty
OKLAHOMAPost
74401Update Date
2022-05-04Business
NExpiration Date
05/01/1982Ever Disciplined
NLastModifiedDate
10/21/2005Registered Location
Peripheral Licensees
- WILLIAM PATRICK CHAMBERLAIN MD MUSKOGEE, OK 74401
- MARJORIE B LIEVSAY MUSKOGEE, OK 74401
- PHYLLIS SANSON MUSKOGEE, OK 74403
- RENE VICTOR SCHOATS MUSKOGEE, OK 74401
- THERESA ELIZABETH WILLIAMS MUSKOGEE, OK 74403
- CATHLINE A BAZIH MUSKOGEE, OK 74401
- SANDRA LEA HAMPTON MUSKOGEE, OK 74403
- DAVID M JOHNSON MUSKOGEE, OK 74401
- PHYLLIS WALK MUSKOGEE, OK 74401
- DAVID M JOHNSON MUSKOGEE, OK 74401