SULLIVAN, HEATHER LYNN - Licensee Information

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

SULLIVAN, HEATHER LYNN

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:	IGNITE MEDICAL RESORT ADAMS PARC 6006 SE ADAMS BLVD BARTLESVILLE OK 74006 Address last updated on 1/12/2024
Phone #:	(918) 331-0550
Fax #:
County:	WASHINGTON
License:	1534
Dated:	9/21/2006
Expires:	1/31/2025
Temp. Ltr. Issued:	8/9/2006
Temp. Ltr. Expires:	11/4/2006
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:
IGNITE MEDICAL RESORT ADAMS PARC 6006 SE ADAMS BLVD BARTLESVILLE OK 74006 Phone #: (918) 331-0550 Fax #:

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