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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

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JACKSON, LEONARD       
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: EMPOWER ME WELLNESS
2100 NE 140TH ST
EDMOND OK 73013

Address last updated on 10/17/2024
Phone #: (405) 393-6868
Fax #:
County: OKLAHOMA
License: 2671
Dated: 8/8/2024
Expires: 10/31/2025
Temp. Ltr. Issued: 7/26/2024
Temp. Ltr. Expires: 9/19/2024
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:
EMPOWER ME WELLNESS
2100 NE 140TH ST
EDMOND OK 73013

Phone #: (405) 393-6868
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
CHELSEY HANNAH SISCO OT 5404

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