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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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COCKRILL, JULIE LYNN       
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: 825 NW 10TH STS 5D
OKLAHOMA CITY OK 73104

Address last updated on 12/17/2024
Phone #: (405) 271-9493 x6955
Fax #:
County: OKLAHOMA
License: 3542
Dated: 7/10/2002
Expires: 1/31/2026
Temp. Ltr. Issued: 5/30/2002
Temp. Ltr. Expires: 9/21/2002
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:
825 NW 10TH STS 5D
OKLAHOMA CITY OK 73104

Phone #: (405) 271-9493 x6955
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
LAVINIA JEAN CRESWA TA 2286

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