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Oklahoma Board of Medical Licensure and Supervision

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PIERSON, LINDSAY KAY       
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: JIM THORPE OUTPATIENT REHAB
4100 S DOUGLAS AVE
OKLAHOMA CITY OK 73109

Address last updated on 7/12/2015
Phone #: (405) 644-5440
Fax #:
County: OKLAHOMA
License: 4846
Dated: 8/1/2014
Expires: 1/31/2016
Temp. Ltr. Issued: 6/26/2014
Temp. Ltr. Expires: 11/7/2014
License Type: Physical Therapist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2016
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:
JIM THORPE OUTPATIENT REHAB
4100 S DOUGLAS AVE
OKLAHOMA CITY OK 73109

Phone #: (405) 644-5440
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
MICHAEL WAYNE BLOMSTROM TA 691
LESLIE HEIDI ROBERTS TA 3050
DEBORAH KAY WILLIAMS TA 2508

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