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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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GERIES, BAILEE DAWN       
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: 7300 BRITTON RD NE
EL RENO OK 73036

Address last updated on 11/21/2024
Phone #:
Fax #:
County: CANADIAN
License: 194
Dated: 3/8/2018
Expires: 11/30/2026
Temp. Ltr. Issued: 1/3/2018
Temp. Ltr. Expires: 3/8/2018
License Type: Therapeutic Recreation Specialist
Specialty:
Status: Active
Status Class: Fully Licensed
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:
7300 BRITTON RD NE
EL RENO OK 73036

Phone #:
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JULIE KAY COSTILLA TRS 61

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