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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, May 3, 2024 4:08 PM CDT
Next Update: Saturday, May 4, 2024 2:50 AM CDT

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JACKMAN, MICHAEL STEPHEN
Practice Address: 2219 WEST I-240 SERVICE ROAD SUIE #109-115
OKLAHOMA CITY OK 73159

Address last updated on 3/5/2024
Phone #:
Fax #:
County: OKLAHOMA
License: 2597
Dated: 2/5/2024
Expires: 10/31/2024
License Type: Occupational Therapy Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2026
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:
2219 WEST I-240 SERVICE ROAD SUIE #109-115
OKLAHOMA CITY OK 73159

Phone #:
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
DAHN KING-ELAM OT 530

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