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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, December 24, 2024 1:13 PM CST
Next Update: Tuesday, December 24, 2024 4:30 PM CST

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TIDWELL, BRENAE MCKENZIE       
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: 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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