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Last Update: Thursday, September 26, 2024 6:51 PM CDT
Next Update: Friday, September 27, 2024 2:50 AM CDT
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WALLACE, MACIE GRIER
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Practice Address: |
Not Practicing as of 11/1/2019
Address last updated on 10/18/2023 |
Phone #: |
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Fax #: |
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County: |
NOT OKLAHOMA |
License: |
1533 |
Dated: |
11/1/2014 |
Expires: |
10/31/2024 |
Temp.
Ltr.
Issued:
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8/22/2014 |
Temp.
Ltr.
Expires:
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11/7/2014 |
License Type: |
Occupational Therapy Assistant |
Specialty: |
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Status: |
Active |
Status Class: |
Not Practicing |
Restricted to: |
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CME Year: |
2024 |
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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: |
EMILY ANN BUSH
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OT |
1658 |
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