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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

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BOONE, MICHAEL DAVID       
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: SELECT REHAB
ACADEMY RD
PONCA CITY OK 73116

Address last updated on 10/28/2024
Phone #: (405) 473-8896
Fax #:
County: OKLAHOMA
License: 713
Dated: 11/1/1995
Expires: 10/31/2025
Temp. Ltr. Issued: 8/21/1995
Temp. Ltr. Expires: 11/4/1995
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:
SELECT REHAB
ACADEMY RD
PONCA CITY OK 73116

Phone #: (405) 473-8896
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
CORINNE NICOLE DILLDINE OA 2446

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