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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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KATZER, JESSICA RUTH       
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: 4300 W HOUSTON STREET
BROKEN ARROW OK 74012

Address last updated on 1/19/2017
Phone #: (918) 254-5000
Fax #:
County: TULSA
License: 5150
Dated: 6/1/2016
Expires: 1/31/2018
License Type: Physical Therapist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2018
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:
4300 W HOUSTON STREET
BROKEN ARROW OK 74012

Phone #: (918) 254-5000
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
SHILOH ELIZABETH BERRY TA 3491
JESSICA EMILYE JACKSON TA 2475
MICHAEL MCCOY TA 3106
JODIE ANN STUCKEY TA 586
DEVIN T.A TUCKER TA 3615

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