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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, May 1, 2024 1:43 PM CDT
Next Update: Wednesday, May 1, 2024 4:30 PM CDT

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LACKEY, MICHAEL DEWITT
Practice Address: CHEROKEE ELDER CARE
1387 WEST 4TH STREET
TAHLEQUAH OK 74464

Address last updated on 3/12/2024
Phone #: (918) 453-5554
Fax #:
County: OKLAHOMA
License: 323
Dated: 12/1/1995
Expires: 10/31/2024
License Type: Occupational Therapy Assistant
Specialty: 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:
CHEROKEE ELDER CARE
1387 WEST 4TH STREET
TAHLEQUAH OK 74464

Phone #: (918) 453-5554
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
SYDNEY JANE DORROUGH OT 1578
ASHLEY RENYEA PERKINS OT 2068

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