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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, April 24, 2024 3:08 PM CDT
Next Update: Thursday, April 25, 2024 2:50 AM CDT

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JOHNSON, ALICIA DIANE
Practice Address: 1120 S UTICA AVE
TULSA OK 74104

Address last updated on 10/12/2023
Phone #: (918) 579-1000
Fax #:
County: OKLAHOMA
License: 1922
Dated: 7/17/2014
Expires: 10/31/2024
License Type: Occupational Therapist
Specialty: Acute Care (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:
1120 S UTICA AVE
TULSA OK 74104

Phone #: (918) 579-1000
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
SHELLY LEE HENRY OA 1485

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