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Oklahoma Board of Medical Licensure and Supervision

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PHILLIPS, STACY LYNN       
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: 2002 E. ROBINSON STREET
NORMAN OK 73071

Address last updated on 10/1/2014
Phone #:
Fax #:
County: CLEVELAND
License: 1577
Dated: 6/17/2008
Expires: 10/31/2014
License Type: Occupational Therapist
Specialty: Developmental Disabilities (OT/OA only)
Pediatrics (OT/OA only)
School Based Practice (OT/OA only)
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2014
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:
2002 E. ROBINSON STREET
NORMAN OK 73071

Phone #:
Fax #:

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