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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST
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FRY, KORY DON
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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.
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| Practice Address: |
MOORE AUTISM CENTER
1040 SW 4TH ST
MOORE OK 73160
Address last updated on 12/4/2024 |
| Phone #: |
(405) 735-8478 |
| Fax #: |
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| County: |
CLEVELAND |
| License: |
1237 |
| Dated: |
11/3/2011 |
| Expires: |
10/31/2025 |
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Temp.
Ltr.
Issued:
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9/23/2011 |
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Temp.
Ltr.
Expires:
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11/4/2011 |
| License Type: |
Occupational Therapy Assistant |
| Specialty: |
Pediatrics (OT/OA only)
Autism (OT/OA only) |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| CME Year: |
2026 |
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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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Primary Supervisor(s):
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| Name: |
Type: |
License Number: |
Full/Part Time: |
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JERRY LYNN DURHAM
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OT |
158 |
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