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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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BLACKWELL-OCHOA, STACIE 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: ST JOHN MED CTR
1923 S UTICA AVE
TULSA OK 74104-6502

Address last updated on 1/23/2007
Phone #: (918) 744-2350
Fax #:
County: TULSA
License: 3761
Dated: 8/19/2004
Expires: 1/31/2008
Temp. Ltr. Issued: 8/18/2004
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:
ST JOHN MED CTR
1923 S UTICA AVE
TULSA OK 74104-6502

Phone #: (918) 744-2350
Fax #:

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