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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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DERSHEM, MICHELLE RENEE       
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 CENTER MIDWEST CITY
2900 PARKLAWN DR
MIDWEST CITY OK 73110

Address last updated on 1/25/2024
Phone #: (405) 737-6601
Fax #:
County: OKLAHOMA
License: 414
Dated: 8/14/1995
Expires: 1/31/2025
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 CENTER MIDWEST CITY
2900 PARKLAWN DR
MIDWEST CITY OK 73110

Phone #: (405) 737-6601
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JARED ADAM BALDWIN PT 5251

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