PUSH, REAGEN ELIZABETH - 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

PUSH, REAGEN ELIZABETH

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:	ASCENSION ST JOHN REHAB HOSPITAL OF OWASSO 13402 E 86TH ST NORTH OWASSO OK 74055 Address last updated on 11/30/2024
Phone #:	(918) 401-3100
Fax #:
County:	TULSA
License:	5997
Dated:	10/15/2024
Expires:	10/31/2025
Temp. Ltr. Issued:	9/13/2024
Temp. Ltr. Expires:	11/21/2024
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:
ASCENSION ST JOHN REHAB HOSPITAL OF OWASSO 13402 E 86TH ST NORTH OWASSO OK 74055 Phone #: (918) 401-3100 Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
SKYLAR KEATON GORDON	OA	2481
LISA JO LEE	OA	2475

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