MCAVOY, SAMANTHA JO - 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

MCAVOY, SAMANTHA JO

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:	PARC PLACE MEDICAL RESORT 1400 E MEMORIAL RD OKLAHOMA CITY OK 73131 Address last updated on 11/29/2024
Phone #:	(405) 875-0040
Fax #:
County:	OKLAHOMA
License:	5787
Dated:	11/30/2023
Expires:	10/31/2025
Temp. Ltr. Issued:	7/19/2023
Temp. Ltr. Expires:	1/18/2024
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:
PARC PLACE MEDICAL RESORT 1400 E MEMORIAL RD OKLAHOMA CITY OK 73131 Phone #: (405) 875-0040 Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
JAMES BENTLEY DANIELS	OA	1939
JENNIFER GAYLEN FARROW	OA	620
KARMELLA MICHELLE JOHNSON	OA	1567

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