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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, April 29, 2024 10:43 AM CDT
Next Update: Monday, April 29, 2024 12:00 PM CDT

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ELLIS, KIMYETTA
Practice Address: KIMYETTA ELLIS
2155 E LIBERTY LANE. APT #248
PHOENIX AZ 85048

Address last updated on 12/16/2020
Phone #: (708) 261-6506
Fax #:
County: NOT OKLAHOMA
License: 2291
Dated: 2/9/2021
Expires: 10/31/2021
License Type: Occupational Therapy Assistant
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2022
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:
KIMYETTA ELLIS
2155 E LIBERTY LANE. APT #248
PHOENIX AZ 85048

Phone #: (708) 261-6506
Fax #:

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