JORDAN, KATHLEEN LOUISE - Licensee Information

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JORDAN, KATHLEEN LOUISE

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:	COLUMBIA EDMOND MEDICAL CTR ONE SOUTH BRYANT EDMOND OK 73134
Phone #:
Fax #:
County:	OKLAHOMA
License:	724
Dated:	11/14/1995
Expires:	10/31/1998
Temp. Ltr. Issued:	9/19/1995
Temp. Ltr. Expires:	11/18/1995
License Type:	Occupational Therapist
Specialty:

Status:	Inactive
Status Class:	Expired License
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:
COLUMBIA EDMOND MEDICAL CTR ONE SOUTH BRYANT EDMOND OK 73134 Phone #: Fax #:

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