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Oklahoma Board of Medical Licensure and Supervision

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

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LACKEY, MICHAEL DEWITT       
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: CHEROKEE ELDER CARE
1387 WEST 4TH STREET
TAHLEQUAH OK 74464

Address last updated on 10/30/2024
Phone #: (918) 453-5554
Fax #:
County: CHEROKEE
License: 323
Dated: 12/1/1995
Expires: 10/31/2025
License Type: Occupational Therapy Assistant
Specialty: Activities of Daily Living (OT/OA only)
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:
CHEROKEE ELDER CARE
1387 WEST 4TH STREET
TAHLEQUAH OK 74464

Phone #: (918) 453-5554
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
ASHLEY RENYEA PERKINS OT 2068

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