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IRVIN, SHELLEY RAE       
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: IVANHOE HALFWAY HOUSE
415 NW 8TH
OKLAHOMA CITY OK 73104

Address last updated on 10/20/2009
Phone #: (405) 230-1173
Fax #:
County: OKLAHOMA
License: 939
Dated: 11/2/2006
Expires: 10/31/2010
License Type: Occupational Therapy Assistant
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2010
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:
IVANHOE HALFWAY HOUSE
415 NW 8TH
OKLAHOMA CITY OK 73104

Phone #: (405) 230-1173
Fax #:

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