SHINTAKU, KELLI ANN ETSUKO - Licensee Information

Search Results

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

SHINTAKU, KELLI ANN ETSUKO

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:	BOKEN ARROW MEDICAL CENTER 3000 S ELM PLACE BROKEN ARROW OK 74012
Phone #:
Fax #:
County:	TULSA
License:	2787
Dated:	7/31/1998
Expires:	1/31/2000
Temp. Ltr. Issued:	6/25/1998
Temp. Ltr. Expires:	9/26/1998
License Type:	Physical Therapist
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
CME Year:

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:
BOKEN ARROW MEDICAL CENTER 3000 S ELM PLACE BROKEN ARROW OK 74012 Phone #: Fax #:

Return to Search Licensees page