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PICKETT, JACQUELINE DAWNE       
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: MEMORIAL HEIGHTS NURSING CENTER
1305 S EAST ADAMS
IDABEL OK 74745

Address last updated on 9/22/2011
Phone #: (936) 553-4092
Fax #: (936) 254-9972
County: MCCURTAIN
License: 1703
Dated: 2/8/2011
Expires: 10/31/2012
License Type: Occupational Therapist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2012
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:
MEMORIAL HEIGHTS NURSING CENTER
1305 S EAST ADAMS
IDABEL OK 74745

Phone #: (936) 553-4092
Fax #: (936) 254-9972

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