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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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HAMILTON, LORI 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: 701 W KIOWA ST
CLEVELAND OK 74020

Address last updated on 1/24/2024
Phone #: (918) 995-0940 x6652
Fax #:
County: PAWNEE
License: 550
Dated: 5/8/1997
Expires: 1/31/2025
Temp. Ltr. Issued: 3/26/2018
Temp. Ltr. Expires: 9/13/2018
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:
701 W KIOWA ST
CLEVELAND OK 74020

Phone #: (918) 995-0940 x6652
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
CHARLES OWEN TILLMAN III PT 3469

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