JACKSON, NANCY ROTZ - Licensee Information

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

JACKSON, NANCY ROTZ

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:	5-STAR INTERLOCAL COOP 1405 E MOSES CUSHING OK 74023 Address last updated on 10/23/2024
Phone #:	(918) 225-5600
Fax #:
County:	PAYNE
License:	240
Dated:	9/17/1986
Expires:	10/31/2025
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:
5-STAR INTERLOCAL COOP 1405 E MOSES CUSHING OK 74023 Phone #: (918) 225-5600 Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
LISA LOUISE BAKER	OA	207
ANDREA KARRIS REED	OA	1298
JANICE NICOLE TAYLOR	OA	2405

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