CHELENZA, CONNIE M - Licensee Information

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

CHELENZA, CONNIE M

This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.

Practice Address:	TEXOMA ORTHOTICS AND PROSTHETICS, PLLC 1915 W GORE BLVD STE 1 LAWTON OK 73501-3661 Address last updated on 12/30/2019
Phone #:	(580) 699-8690
Fax #:
County:	COMANCHE
License:	92
Dated:	7/25/2013
Expires:	12/31/2025
Temp. Ltr. Issued:	5/3/2013
Temp. Ltr. Expires:	9/12/2013
License Type:	Licensed Prosthetist/Orthotist
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:	0

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:
TEXOMA ORTHOTICS AND PROSTHETICS, PLLC 1915 W GORE BLVD STE 1 LAWTON OK 73501-3661 Phone #: (580) 699-8690 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisees(s):
THOMAS DREW FULFER	LO	73

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