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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, April 18, 2024 6:52 PM CDT
Next Update: Friday, April 19, 2024 2:50 AM CDT

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MCCULLOUGH, CASSIDY RENEE
Practice Address: 412 N. BROADWAY AVE.
SHAWNEE OK 74801

Address last updated on 10/31/2023
Phone #: (405) 273-1523
Fax #:
County: POTTAWATOMIE
License: 2128
Dated: 7/21/2017
Expires: 10/31/2024
License Type: Occupational Therapist
Specialty:
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:
412 N. BROADWAY AVE.
SHAWNEE OK 74801

Phone #: (405) 273-1523
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
AVERY LAUREN BLACKBURN OA 2034

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