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CANYOCK, JOHN DAVID       
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 JIM THORPE OUTPATIENT CENTER
4200 SOUTH DOUGLAS
OKLAHOMA CITY OK 73109

Address last updated on 10/29/2004
Phone #: (405) 644-5440
Fax #:
County: OKLAHOMA
License: 1377
Dated: 11/1/2004
Expires: 10/31/2005
Temp. Ltr. Issued: 7/1/2004
Temp. Ltr. Expires: 11/6/2004
License Type: Occupational Therapist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 0
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 JIM THORPE OUTPATIENT CENTER
4200 SOUTH DOUGLAS
OKLAHOMA CITY OK 73109

Phone #: (405) 644-5440
Fax #:

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