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Oklahoma Board of Medical Licensure and Supervision

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MOORE, CORY RYAN       
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: EL RENO PARC
2100 TOWNSEND DR
EL RENO OK 73036

Address last updated on 10/30/2017
Phone #: (405) 262-3323
Fax #:
County: CANADIAN
License: 864
Dated: 11/4/2004
Expires: 10/31/2018
License Type: Occupational Therapy Assistant
Specialty: Gerontology (OT/OA only)
Stroke Rehabilitation (OT/OA only)
Dementia (OT/OA only)
Fall Prevention (OT/OA only)
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2018
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:
EL RENO PARC
2100 TOWNSEND DR
EL RENO OK 73036

Phone #: (405) 262-3323
Fax #:

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