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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 26, 2024 3:50 AM CST
Next Update: Thursday, December 26, 2024 12:00 PM CST

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MEDLOCK, JORDAN MARIE       
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: ALTUS PUBLIC SCHOOLS
219 N LEE
ALTUS OK 73521

Address last updated on 10/23/2024
Phone #: (580) 481-2100
Fax #:
County: JACKSON
License: 1793
Dated: 11/1/2016
Expires: 10/31/2025
Temp. Ltr. Issued: 9/13/2016
Temp. Ltr. Expires: 11/4/2016
License Type: Occupational Therapy Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2026
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:
ALTUS PUBLIC SCHOOLS
219 N LEE
ALTUS OK 73521

Phone #: (580) 481-2100
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
EMILY ANN BUSH OT 1658

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