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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, April 18, 2024 9:08 AM CDT
Next Update: Thursday, April 18, 2024 12:00 PM CDT

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PETTY, JONATHAN PAUL
Practice Address: UNIVERSITY VILLAGE RETIREMENT
8555 SOUTH LEWIS AVE.
TULSA OK 74137

Address last updated on 10/26/2023
Phone #: (918) 299-2661
Fax #:
County: CREEK
License: 1835
Dated: 7/10/2017
Expires: 10/31/2024
Temp. Ltr. Issued: 6/16/2017
Temp. Ltr. Expires: 9/14/2017
License Type: Occupational Therapy Assistant
Specialty: Gerontology (OT/OA only)
Activities of Daily Living (OT/OA only)
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2024
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:
UNIVERSITY VILLAGE RETIREMENT
8555 SOUTH LEWIS AVE.
TULSA OK 74137

Phone #: (918) 299-2661
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
CARLYE ANN BUSTER OT 5224

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