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REA, SHANNA JEANE       
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: VETERANS HEALTH ADMINISTRATION
PUGET SOUND VA HEALTH SYSTEM
9600 VETERANS DRIVE
TACOMA WA 98493

Address last updated on 11/17/2020
Phone #: (405) 314-3649
Fax #:
County: NOT OKLAHOMA
License: 100
Dated: 2/8/2011
Expires: 11/30/2022
Temp. Ltr. Issued: 11/10/2010
Temp. Ltr. Expires: 3/11/2011
License Type: Therapeutic Recreation Specialist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 0
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:
VETERANS HEALTH ADMINISTRATION
PUGET SOUND VA HEALTH SYSTEM
9600 VETERANS DRIVE
TACOMA WA 98493

Phone #: (405) 314-3649
Fax #:

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