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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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STORM, JANE YVONNE       
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: CLINIC
1605 SO EUCALYPTUS AVE STE 200
BROKEN ARROW OK 74012

Address last updated on 10/31/2024
Phone #: (918) 608-1212
Fax #:
County: TULSA
License: 944
Dated: 11/2/2006
Expires: 10/31/2025
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:
CLINIC
1605 SO EUCALYPTUS AVE STE 200
BROKEN ARROW OK 74012

Phone #: (918) 608-1212
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
EMILY LYNN AYALA OT 5703

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