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Oklahoma Board of Medical Licensure and Supervision

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CLOAR, SHANNON LEIGH       
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: 128 WEST 22ND STREET
ADA OK 74820
Phone #: (580) 332-3863
Fax #:
County: PONTOTOC
License: 669
Dated: 3/21/1995
Expires: 9/11/2003
Temp. Ltr. Issued: 1/5/1995
Temp. Ltr. Expires: 3/25/1995
License Type: Occupational Therapist
Specialty:
Status: Inactive
Status Class: Deceased
Restricted to:
CME Year:
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:
128 WEST 22ND STREET
ADA OK 74820

Phone #: (580) 332-3863
Fax #:

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