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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, April 28, 2024 4:03 AM CDT
Next Update: Sunday, April 28, 2024 12:00 PM CDT

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CANTRELL, LYDIA FORREST
Practice Address: 2603 OLD 98 ROAD
VALLIANT OK 74764

Address last updated on 10/29/2023
Phone #: (580) 212-5627
Fax #:
County: MCCURTAIN
License: 5381
Dated: 9/18/2019
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:
2603 OLD 98 ROAD
VALLIANT OK 74764

Phone #: (580) 212-5627
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JUSTIN CLARK BLACK OA 1513
CHELSEA NICHOLE BURNS OA 1969
NICOLE MARIE MILLWARD OA 2615

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