LAKE, BONNIE SUE - Licensee Information

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

LAKE, BONNIE SUE

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:	INTEGRIS HEALTH EDMOND-JIM THORPE OUTPATIENT REHAB 4905 INTEGRIS PARKWAY SUITE 100 EDMOND OK 73034 Address last updated on 10/14/2024
Phone #:	(405) 657-3800
Fax #:	(405) 657-3801
County:	OKLAHOMA
License:	1070
Dated:	5/11/2000
Expires:	10/31/2025
License Type:	Occupational Therapist
Specialty:	Hand/Wrist Disorders (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:
INTEGRIS HEALTH EDMOND-JIM THORPE OUTPATIENT REHAB 4905 INTEGRIS PARKWAY SUITE 100 EDMOND OK 73034 Phone #: (405) 657-3800 Fax #: (405) 657-3801

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