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Oklahoma Board of Medical Licensure and Supervision

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BALICKI, SALLY ANN       
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: IVANHOE MANOR REHAB HOSPITAL
134 FORD
VICTORIA
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 559
Dated: 6/26/1993
Expires: 10/31/1995
Temp. Ltr. Issued: 4/29/1993
Temp. Ltr. Expires: 6/26/1993
License Type: Occupational Therapist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
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:
IVANHOE MANOR REHAB HOSPITAL
134 FORD
VICTORIA

Phone #:
Fax #:

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