BUSTER, JENNY DAWN - 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

BUSTER, JENNY DAWN

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:	CARNEGIE TRI-CTY MUNICIPAL HSP 102 NORTH BROADWAY P O BOX 97 CARNEGIE OK 73015-0938 Address last updated on 12/8/2023
Phone #:	(580) 654-1050 x2306
Fax #:	(580) 654-2111
County:	CADDO
License:	2657
Dated:	8/14/1997
Expires:	1/31/2025
Temp. Ltr. Issued:	6/26/1997
Temp. Ltr. Expires:	11/22/1997
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:
CARNEGIE TRI-CTY MUNICIPAL HSP 102 NORTH BROADWAY P O BOX 97 CARNEGIE OK 73015-0938 Phone #: (580) 654-1050 x2306 Fax #: (580) 654-2111

Name:	Type:	License Number:
Primary Supervisees(s):
JIMMIE ABBOTT	TA	3703
KENDRA LEE FIXICO	TA	3481
CHRISTOPHER NEIL LARSEN	TA	2013
JENNA SUE SCALES	TA	1506
STORMI RASHEL SHARRY	TA	2776

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