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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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CARLIN, JEANETTE QUANG       
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: 1714 S KELLY AVE
EDMOND OK 73013
Address last updated on 12/27/2023
Phone #: (405) 285-8845
Fax #:
County: OKLAHOMA
License: 5299
Dated: 7/27/2017
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:
1714 S KELLY AVE
EDMOND OK 73013
Phone #: (405) 285-8845
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
HANNAH MARIE BARTEL TA 3622
KIRSTA MARIE BOWLES TA 2609
TIFFANY LYNN BRANTLEY TA 2963
GALEN TRENT BRANTLEY TA 2961
LADONNA JOY CAMPBELL TA 329
CINDI ANN CATHEY TA 1691
WHITNEY MIRANDA CHRISTIAN TA 1717
KURT DONLEE CRADDOCK TA 1231
KATIE ANDREA CURRY TA 2363
MARLEY DEE ELLIS TA 3130
SARAH ELIZABETH GREEN TA 1198
JOHN MICHAEL HAMMON TA 1148
NEIKI CELESTE HARVILLE TA 3321
SHER DENEA JEFFRESS TA 3658
WAYLON GENE KOEHLER TA 1713
JESSICA STARR LEATHERS TA 1670
FAITH OLIVIA LESSERT TA 3383
KARINA AIDETH MARTINEZ TA 2795
CRYSTAL NICHOLE MCDOWELL TA 1405
MALORIE MARIE MILLER TA 3861
TIFFANY MICHELLE MUTCH TA 3872
LEVI ALLEN PATTERSON TA 3252
JOSHUA WAYNE PERKINS TA 1903
HUNTER A RIALS TA 3056
ANTHONY TYRELL SHORT TA 1514
JACINDA ROSE SHULER TA 3386
CASSONDRA LYNN SMITH TA 3853
TAYLOR SYLVESTER TA 3711
CHARLIE MARIE WATLINGTON TA 3523
CHEYENNE AUTUMN WILLIAMS TA 3429
KADY CHRISTINE WORTH TA 3414

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