BONAOBRA, AMY R - Licensee Information

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

BONAOBRA, AMY R

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:	ST FRANCIS HOSPITAL 300 EDNA M. ROCKEFELLER DR. MUSKOGEE OK 74401 Address last updated on 12/7/2023
Phone #:	(918) 682-5501
Fax #:
County:	TULSA
License:	2190
Dated:	6/30/1994
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:
ST FRANCIS HOSPITAL 300 EDNA M. ROCKEFELLER DR. MUSKOGEE OK 74401 Phone #: (918) 682-5501 Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
KYLA JENEE BESHEARS	TA	3462
ASHLEY LEE CLOUD	TA	3041
BEVERLY RENEE HILL	TA	1264
BROOKE KEISS	TA	2926
JOSETTE ALICIA MCWHIRT	TA	234
KINSEY SHANELL MULLEN	TA	2668

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