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Oklahoma Board of Medical Licensure and Supervision

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

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CARRILLO, JUAN PABLO       
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: 5401 W MEMORIAL RD
OKLAHOMA CITY OK 73142

Address last updated on 10/7/2024
Phone #: (405) 384-5250
Fax #:
County: OKLAHOMA
License: 2086
Dated: 2/8/2017
Expires: 10/31/2025
License Type: Occupational Therapist
Specialty: Home and Community Health (OT/OA only)
Acute Care (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:
5401 W MEMORIAL RD
OKLAHOMA CITY OK 73142

Phone #: (405) 384-5250
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
BOBBIE JEAN CRAIG OA 2593
KARMELLA MICHELLE JOHNSON OA 1567
AMBER DAWNELL MCCORMICK OA 900

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