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Oklahoma Board of Medical Licensure and Supervision

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LARISCY, COURTNEY BREANNE       
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: ST ANTHONY'S BEHAVIORAL MEDICINE
OKLAHOMA CITY OK 73102

Address last updated on 10/12/2016
Phone #: (405) 272-6216
Fax #:
County: OKLAHOMA
License: 172
Dated: 9/15/2016
Expires: 11/30/2018
Temp. Ltr. Issued: 7/12/2016
Temp. Ltr. Expires: 9/22/2016
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:
ST ANTHONY'S BEHAVIORAL MEDICINE
OKLAHOMA CITY OK 73102

Phone #: (405) 272-6216
Fax #:

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