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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

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HOAGLAND, CAITLIN POTTORF       
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: KELLY B TODD
1111 N. 36TH STREET
MUSKOGEE OK 74401

Address last updated on 10/28/2024
Phone #: (918) 683-4621
Fax #: (918) 683-4002
County: MUSKOGEE
License: 2117
Dated: 6/22/2017
Expires: 10/31/2025
Temp. Ltr. Issued: 6/15/2017
Temp. Ltr. Expires: 9/14/2017
License Type: Occupational Therapist
Specialty:
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:
KELLY B TODD
1111 N. 36TH STREET
MUSKOGEE OK 74401

Phone #: (918) 683-4621
Fax #: (918) 683-4002
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
SHERIDAN DENAE HOLLIFIELD OA 1434

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