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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, September 26, 2024 6:51 PM CDT
Next Update: Friday, September 27, 2024 2:50 AM CDT

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TIDWELL, BRENAE MCKENZIE       
Practice Address: 2603 OLD 98 ROAD
VALLIANT OK 74764

Address last updated on 9/1/2024
Phone #:
Fax #:
County: MCCURTAIN
License: 5689
Dated: 9/26/2022
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:
2603 OLD 98 ROAD
VALLIANT OK 74764

Phone #:
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KYLAH CHEYENNE LOVING OA 2072
KAYLEE MACKENZIE MURRY OA 2610
ERICA LEA WERTH OA 1110

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