PENN, MARY J. - Licensee Information - Oklahoma Medical Board

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

PENN, MARY J.

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:	CARE PLUS HOME HEALTH CARE 8030 S MEMORIAL DR, STE # D-1 TULSA OK 74133-3664 Address last updated on 3/15/2024
Phone #:	(918) 294-9760
Fax #:	(918) 294-9763
County:	TULSA
License:	2644
Dated:	8/14/1997
Expires:	1/31/2025
Temp. Ltr. Issued:	5/29/1997
Temp. Ltr. Expires:	9/27/1997
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:
CARE PLUS HOME HEALTH CARE 8030 S MEMORIAL DR, STE # D-1 TULSA OK 74133-3664 Phone #: (918) 294-9760 Fax #: (918) 294-9763

Name:	Type:	License Number:
Primary Supervisees(s):
TERRY JACKSON HEWITT	TA	424
LEAH MARIE RYAN	TA	1477

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