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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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PUCKETT, CYNTHIA DIANE       
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: 2521 RIDGE ESTATES DR
YUKON OK 73099-5070

Address last updated on 9/9/2024
Phone #: (405) 550-3380 x4053
Fax #: (405) 310-1877
County: OKLAHOMA
License: 892
Dated: 11/6/1997
Expires: 10/31/2025
Temp. Ltr. Issued: 8/21/1997
Temp. Ltr. Expires: 11/22/1997
License Type: Occupational Therapist
Specialty: Pediatrics (OT/OA only)
School Based Practice (OT/OA only)
Sensory Integration (OT/OA only)
Developmental Problems (OT/OA only)
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:
2521 RIDGE ESTATES DR
YUKON OK 73099-5070

Phone #: (405) 550-3380 x4053
Fax #: (405) 310-1877
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
BRENDA LIZETH VALENCIA-BUTLER OA 1510

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