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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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HAFNER-BONOVICH, JOSEPHINE       
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: EMERALD CARE HEALTH SERVICES
5600 S WALKER
OKLAHOMA CITY OK 73109

Address last updated on 12/17/2023
Phone #: (405) 632-7771
Fax #:
County: OKLAHOMA
License: 1145
Dated: 2/1/2003
Expires: 1/31/2025
Temp. Ltr. Issued: 10/31/2002
Temp. Ltr. Expires: 4/10/2003
License Type: Physical Therapist Assistant
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:
EMERALD CARE HEALTH SERVICES
5600 S WALKER
OKLAHOMA CITY OK 73109

Phone #: (405) 632-7771
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
EDNA MARIE QUILON FERNANDEZ PT 1760

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