CANNON-STEWART, LISA ANNE - 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

CANNON-STEWART, LISA ANNE

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:	OKLAHOMA CITY REHABILITATION HOSPITAL 10240 BROADWAY EXTENSION OKLAHOMA CITY OK 73114-6309 Address last updated on 9/14/2024
Phone #:
Fax #:
County:	OKLAHOMA
License:	575
Dated:	11/20/1993
Expires:	10/31/2025
Temp. Ltr. Issued:	9/2/1993
Temp. Ltr. Expires:	11/20/1993
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:
OKLAHOMA CITY REHABILITATION HOSPITAL 10240 BROADWAY EXTENSION OKLAHOMA CITY OK 73114-6309 Phone #: Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
AMBER MICHELLE DIGBY	OA	1052
KATELYNN MADISON MOWLES	OA	2584
JAMIE LYNN STRAUB	OA	199

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