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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, April 28, 2024 1:44 PM CDT
Next Update: Sunday, April 28, 2024 4:30 PM CDT

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GRISHAM, STACEY ALINE
Practice Address: 1605 S. EUCALYPTUS AVE. SUITE 200
BROKEN ARROW OK 74012

Address last updated on 10/10/2023
Phone #: (918) 608-1212
Fax #: (918) 289-2606
County: TULSA
License: 5546
Dated: 4/22/2021
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:
1605 S. EUCALYPTUS AVE. SUITE 200
BROKEN ARROW OK 74012

Phone #: (918) 608-1212
Fax #: (918) 289-2606

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