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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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BARNETT, SHAUNTESSA M       
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: 808 NW 153RD TERRACE
EDMOND OK 73013

Address last updated on 7/6/2021
Phone #: (732) 718-5748
Fax #: (405) 696-5668
County: OKLAHOMA
License: 5250
Dated: 9/19/2016
Expires: 1/31/2022
Temp. Ltr. Issued: 9/8/2016
Temp. Ltr. Expires: 11/3/2016
License Type: Physical Therapist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2022
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:
808 NW 153RD TERRACE
EDMOND OK 73013

Phone #: (732) 718-5748
Fax #: (405) 696-5668

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