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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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DAVIS, LYNNE ALYSON       
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
8210 NATIONAL AVE
MIDWEST CITY OK 73110

Address last updated on 4/24/2024
Phone #: (405) 503-4427
Fax #:
County: OKLAHOMA
License: 1415
Dated: 9/12/1987
Expires: 1/31/2025
License Type: Physical 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
8210 NATIONAL AVE
MIDWEST CITY OK 73110

Phone #: (405) 503-4427
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
MADISON KELLY DEGRAFFENREID TA 2679
JAMIE ANN FESLER TA 2387
LYNETTE NICHELLE HOUSTON TA 2041
MEGAN KRISTINE WILKEY TA 2899

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