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COOK, REBECCA SANSOM       
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: CHISHOLM PUBLIC SCHOOLS
300 REDWOOD
ENID OK 73701

Address last updated on 1/16/2019
Phone #: (580) 237-5512
Fax #:
County: GARFIELD
License: 3724
Dated: 5/5/2005
Expires: 1/31/2020
Temp. Ltr. Issued: 6/9/2015
Temp. Ltr. Expires: 9/25/2015
License Type: Physical Therapist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2020
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:
CHISHOLM PUBLIC SCHOOLS
300 REDWOOD
ENID OK 73701

Phone #: (580) 237-5512
Fax #:

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