SCOTT, ALICIA MARIE - 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

SCOTT, ALICIA MARIE

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:	GONZALES SOP SERVICES, PLLC 302 N INDEPENDENCE AVE STE 802 ENID OK 73701 Address last updated on 10/29/2024
Phone #:	(580) 334-1856
Fax #:
County:	GARFIELD
License:	6018
Dated:
Expires:	3/20/2025
Temp. Ltr. Issued:	10/29/2024
Temp. Ltr. Expires:	3/20/2025
License Type:	Occupational Therapist
Specialty:

Status:	Active
Status Class:	Temporary
Restricted to:
CME Year:	0

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:
GONZALES SOP SERVICES, PLLC 302 N INDEPENDENCE AVE STE 802 ENID OK 73701 Phone #: (580) 334-1856 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
TAYLOR BETH CONAWAY	OT	2156

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