BLACKBURN, STEFANI JAYNE - Licensee Information

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
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BLACKBURN, STEFANI JAYNE

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 REHAB AT COMANCHE COUNTY MEM HOSPITAL 3201 W GORE BLVD LAWTON OK 73505 Address last updated on 10/8/2019
Phone #:	(580) 250-5385
Fax #:
County:	COMANCHE
License:	3173
Dated:	10/1/2019
Expires:	1/31/2020
Temp. Ltr. Issued:	9/12/2019
Temp. Ltr. Expires:	11/7/2019
License Type:	Physical Therapist Assistant
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:
JIM THORPE REHAB AT COMANCHE COUNTY MEM HOSPITAL 3201 W GORE BLVD LAWTON OK 73505 Phone #: (580) 250-5385 Fax #:

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