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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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CASEY, DIANE J       
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: SUPPLEMENTAL HEALTH CARE
3030 NW EXPRESSWAY SUITE 809
OKLAHOMA CITY OK 73112

Address last updated on 12/6/2018
Phone #: (405) 917-7160
Fax #: (405) 917-7161
County: OKLAHOMA
License: 4650
Dated: 11/8/2012
Expires: 1/31/2020
Temp. Ltr. Issued: 9/28/2012
Temp. Ltr. Expires: 11/9/2012
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:
SUPPLEMENTAL HEALTH CARE
3030 NW EXPRESSWAY SUITE 809
OKLAHOMA CITY OK 73112

Phone #: (405) 917-7160
Fax #: (405) 917-7161

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