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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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CODY, KATHERINE JUNE       
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: LIFE SENIOR SERVICES/PACE PROGRAM
902 E PINE ST
TULSA OK 74106
Address last updated on 1/24/2024
Phone #: (918) 949-9969
Fax #:
County: TULSA
License: 4341
Dated: 7/16/2010
Expires: 1/31/2025
Temp. Ltr. Issued: 5/29/2010
Temp. Ltr. Expires: 9/16/2010
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:
LIFE SENIOR SERVICES/PACE PROGRAM
902 E PINE ST
TULSA OK 74106
Phone #: (918) 949-9969
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
BLAKE ALLEN TA 3604
SHAWN O'DEAN BATTLES TA 1432
JOSHUA ANTHONY BUTTON TA 2126
KYLEE JANE COLLIER TA 3633
JARRETT FOSTER CORNETT TA 3564
ANNA MARIA COSTELLO TA 3289
JOHANNA ALENE CUMMINGS TA 1077
JACOB DANIEL DUPREE TA 2840
SUZANNA ESTILL TA 2233
SUZANNE BETH EVANS TA 3663
AMANDA LEA FAUGHT TA 1082
CASSANDRA FLORES TA 3555
RYAN MILLER GIBSON TA 2712
KELSIE RENEE GOETZ TA 2130
HUMBERTO GRIMALDO-SALAZAR TA 1948
MICHAEL HAGEN TA 2509
JENA HARMON TA 3394
DEBORAH DIANE HILDEBRAND TA 818
TENLEY ELIZABETH HILL TA 1099
MICHAL SHEA IBISON TA 2780
JESSICA EMILYE JACKSON TA 2475
ALEXIS DAWN JACKSON TA 2766
ALICIA DAWN JOBE TA 3398
LAUREN NOELLE JONES TA 2708
VICTORIA JUNE JONES TA 1630
AMANDA BROOKE KENNEDY TA 1749
DOROTHEA INGE KERNS TA 1628
KATIE LYNN LEWIS TA 1267
THOMAS WILLIAM MCCALEB TA 548
JOSETTE ALICIA MCWHIRT TA 234
LA TOYA MECHELLE MEYER TA 1836
KEISHA JUANELL NELSON TA 1750
SHARON KAY NEWTON TA 509
JAQUICELE FERNANDA O'ROURKE TA 1933
MELISSA DAWN PARKER TA 3193
ZACHARY PAYNE TA 3545
JACQUELYN DOVE PAYNE TA 417
HAYDEN M'LISS PERRY TA 3333
MORGAN DEANN PHILLIPS TA 2857
GLENNA ARLENE PIPINS TA 76
KYZER CAASI PIZARRO TA 2664
BRIONNA LEIGH PORTER TA 3840
AMANDA MARIE RANALLO TA 1336
AMANDA MARIE RANALLO TA 1336
KAITLYN BETH RICHARDSON TA 3744
CHASSITY AUTUMN RUBERT TA 921
STEPHANIE KAREN RUDROW TA 2189
LEAH MARIE RYAN TA 1477
CARLA KATHLEEN SMITH TA 820
KENDALL LEE STOGNER-LEWIS TA 2514
NICOLE MARIE URBAN TA 1146
BRECKEN LEE WAITMAN TA 3148
JOHNNA BETH WANLESS TA 1679
KARRY M WARD TA 1431
ALLI MARIE WILLIS TA 3862
DAMION WOLFE TA 2523

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