SHELBURNE, NICOLE - Licensee Information

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Last Update: Thursday, May 2, 2024 4:48 AM CDT
Next Update: Thursday, May 2, 2024 12:00 PM CDT

SHELBURNE, NICOLE

Practice Address:	Oklahoma Smoke Divers at the Muskogee Fairgrounds 1444 SOUTH CHEROKEE MUSKOGEE OK 74403 Address last updated on 12/28/2023
Phone #:	(918) 687-4406
Fax #:
County:	MUSKOGEE
License:	126509
Dated:	12/11/2023
Expires:	6/30/2024
License Type:	Physical Therapist
Specialty:

Status:	Active
Status Class:	Licensed Under Compact Verify current information on PT Compact site
Restricted to:
CME Year:	0

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:
Oklahoma Smoke Divers at the Muskogee Fairgrounds 1444 SOUTH CHEROKEE MUSKOGEE OK 74403 Phone #: (918) 687-4406 Fax #:

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European Union Residents - GDPR Notice: In accordance with the Oklahoma Open Records Act, all applications submitted are a matter of public record. Social Security Numbers and any HIPAA-protected data are redacted. By applying for and retaining an Oklahoma Medical License, you are giving consent to share your information with anyone requesting it and waiving your right to be notified when your data is requested. We are also required to retain licensee records for a minimum of 10 years after the license expires, so any information submitted will remain a public record for that time period.

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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