GREEN, AUDRA LOUISE - 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

GREEN, AUDRA LOUISE

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:	JIM THORPE OUTPATIENT INTEGRIS CANCER INSTITUTE 5915 W MEMORIAL RD SUITE 210 OKLAHOMA CITY OK 73142 Address last updated on 12/10/2024
Phone #:	(405) 773-6601
Fax #:
County:	OKLAHOMA
License:	2369
Dated:	7/17/2014
Expires:	1/31/2025
Temp. Ltr. Issued:	7/11/2014
Temp. Ltr. Expires:	11/7/2014
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:
JIM THORPE OUTPATIENT INTEGRIS CANCER INSTITUTE 5915 W MEMORIAL RD SUITE 210 OKLAHOMA CITY OK 73142 Phone #: (405) 773-6601 Fax #:

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