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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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BUNCH, LAUREN MICHELLE       
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: 8520 SOUTH 36TH TERRACE
FORT SMITH AR 74146

Address last updated on 5/23/2024
Phone #: (866) 410-1740
Fax #:
County: NOT OKLAHOMA
License: 4782
Dated: 10/28/2013
Expires: 1/31/2025
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:
8520 SOUTH 36TH TERRACE
FORT SMITH AR 74146

Phone #: (866) 410-1740
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
REBECCA DELENE ADAMS TA 864
AMBER DAWN ADAMS TA 1880
GUNNAR ALAN AGCAOILI TA 1393
DANNETTE ANDREWS TA 2572
KATHLEEN SCARLETT BELCHER TA 1927
SHILOH ELIZABETH BERRY TA 3491
STEPHEN FAYETTE BILLY TA 479
PENNY S BLUM TA 2231
LONI ANN BOHANNON TA 2531
SHARLA SUE BOWLING TA 419
AMY RENEE BOYD TA 554
BRYAN O'NEAL BRAY TA 2003
ASHLEY ROSS BRISTOL TA 3184
MICHAEL PATRICK BURNS TA 3244
ANGELA DENISE CAGLE TA 556
ASHLEY RENEE CARDENAS TA 1655
PATRICIA ANNE CARSHALL TA 1875
CHRISTINA ANN CASEY TA 2524
PETE SMITH CEPEDA TA 1462
KAYLA RENAE COLE TA 2245
RIKI JANA'E COOK TA 3118
MELODY JO COOK TA 1428
LAVON JUNE COTTON TA 1112
BECCA SHAY COX TA 1173
JOE C DALMUT JR TA 1385
PAUL THOMAS DAMERON TA 753
ASHLEY DAWN DUMAS TA 1620
DARBY LEANN DUNCAN TA 3406
BRANDY DAWN FENWICK TA 698
SAUNDRA DIANN FITE TA 569
EMILY GRACE FULTON TA 3389
ALISON GRACE GIBSON TA 2842
SASHA LYNN GREGORY TA 1382
LINDSEY ANN HACKNEY TA 1468
DONNA DARLENE HAMPTON TA 1078
LESLIE DENISE HARP TA 1184
HEATHER L HENRY TA 926
RHONDA MAE HESTER TA 2800
TENLEY ELIZABETH HILL TA 1099
DIANA GAIL HUBBARD TA 340
HARVEY JAMES HUDGENS TA 474
CAROLYN LOUISE JACKSON TA 1344
WENDY LYNN JOHNSON TA 1458
LAKRESHA LOUISE JONES TA 1601
CHRYSTAL ANNETTE JONES TA 1457
MAGGIE LEE KENNEDY TA 1464
DOROTHEA INGE KERNS TA 1628
AMANDA DANICE KESTER TA 1174
MARSHAL ALAN KING TA 3216
KASEY LYNN KISSEE TA 1567
JAYCE JOE KITCHELL TA 3712
PATRICK KACEY LAIRD TA 2722
TRACY NICOLE LAMB TA 1279
SARAH JAELAINE LICHTENWALTER TA 3556
KENNETH RAY MARTIN TA 2470
SARAH LYNE MAXWELL TA 1204
MARCIE DAWN MAYES TA 1443
JENNIFER LYNN MCCOOL-POTTER TA 2101
VICKI JANE MICHAELS TA 878
TIFFANY SARAE MILLER TA 2388
LAWANDA GAY MOORE TA 2819
BEVERLY M. MOORE TA 2103
MEGAN NICOLE MURRAY TA 2080
ADAH JEWELL NAIR TA 3141
KELLY ALICIA NICKELS TA 1094
DANIEL JOSEPH ORE TA 614
QUANAH ANN PARKER TA 3273
ROSALIE CAWARD PIXLEY TA 1511
MATTHEW QUALLS TA 2339
ALYSSA ALLENE RAINES TA 1340
DELIA SHERREE REED TA 1455
GERALDINE L REEVES TA 647
LILA JEAN REICH TA 260
DIANA KAY RICE TA 289
CHERYL DAWN ROUND TA 2456
ERICKA NICOLE RUSSELL TA 2580
LEAH MARIE RYAN TA 1477
HALLEY MACKENNA SANCHEZ TA 2717
BEYLA FAUN SORRELS TA 2568
TAMARA KAY SPENCER TA 1681
ROBIN KAY STACY TA 1950
TARA LYNN STEPHENSON TA 2804
LATASHA ROSHAWN SUTTLE TA 1664
JEREMY SHANE TACKETT TA 1335
JEREMY SHANE TACKETT TA 1335
CAROL RAY TAYLOR TA 2024
SAMANTHA CHRISTINA TAYLOR TA 1662
JAMIE MIKLES TENCLEVE TA 2201
JEFFREY CALETON TENCLEVE TA 1971
GABRIELLE SHARIE THOMAS TA 2605
MARLENE MAE THOMPSON TA 1424
TRENTON O'NEAL TOLLETT TA 1829
GABRIELLE RENEE TUCKER TA 3365
DEVIN T.A TUCKER TA 3615
AMY LYNN WAITS TA 1118
THOMAS GEORGE WEBER TA 1258
LACEY DYAN WOFFORD TA 1526
TAMMY RENEA WOOTEN TA 2532
TIMOTHY JOE YOUNG TA 763
PAULA G YOUNG TA 2215
TRACI MAE ZACHARIAS TA 3801

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