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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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DANIEL, MADISON       
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: OAKWOOD SPRINGS
13101 MEMORIAL SPRINGS CT
EDMOND OK 73115

Address last updated on 10/2/2023
Phone #:
Fax #:
County: OKLAHOMA
License: 261
Dated: 6/1/2022
Expires: 11/30/2025
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:
OAKWOOD SPRINGS
13101 MEMORIAL SPRINGS CT
EDMOND OK 73115

Phone #:
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
EMILY MICHELLE PHILLIPS TRS 152

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