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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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HEWITT, TERRY JACKSON       
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: RELIANT MUSKOGEE
1622 E BROADWAY
MUSKOGEE OK 74014

Address last updated on 11/6/2024
Phone #: (918) 261-6191
Fax #:
County: MUSKOGEE
License: 424
Dated: 8/25/1995
Expires: 1/31/2025
Temp. Ltr. Issued: 7/11/1995
Temp. Ltr. Expires: 11/4/1995
License Type: Physical Therapist Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2026
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
7/20/2017 Probation Ended
3/10/2011 Probation
2/1/2011 Complaint Citation
1/14/2010 Probation Ended
4/24/2006 Probation
1/26/2006 Suspension, License
12/23/2005 Complaint Citation
Board Filings and/or Orders:
08/09/2017
03/11/2011
01/21/2011
01/21/2011
01/14/2010
05/17/2007
01/26/2006
12/22/2005
12/22/2005
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
RELIANT MUSKOGEE
1622 E BROADWAY
MUSKOGEE OK 74014

Phone #: (918) 261-6191
Fax #:

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