JACKSON, NANCY ROTZ - Licensee Information

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Last Update: Friday, April 26, 2024 4:03 AM CDT
Next Update: Friday, April 26, 2024 12:00 PM CDT

JACKSON, NANCY ROTZ

Practice Address:	5-STAR INTERLOCAL COOP 1405 E MOSES CUSHING OK 74023 Address last updated on 10/10/2023
Phone #:	(918) 225-5600
Fax #:
County:	PAYNE
License:	240
Dated:	9/17/1986
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:
5-STAR INTERLOCAL COOP 1405 E MOSES CUSHING OK 74023 Phone #: (918) 225-5600 Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
LISA LOUISE BAKER	OA	207
ANDREA KARRIS REED	OA	1298
JANICE NICOLE TAYLOR	OA	2405

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Oklahoma State Board of Medical Licensure and Supervision :: 101 NE 51st St, Oklahoma City, OK 73105-1821
Main Number: (405) 962-1400 :: Fax: (405) 962-1440 :: Complaints outside 405 area code: 1-800-381-4519
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