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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, April 19, 2024 3:09 PM CDT
Next Update: Saturday, April 20, 2024 2:50 AM CDT

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JACKSON, CARLETTA YVETTE
Practice Address: ST ANTHONY
1000 N LEE
OKLAHOMA CITY OK 73110

Address last updated on 3/24/2024
Phone #: (405) 272-7443
Fax #:
County: OKLAHOMA
License: 3474
Dated: 2/1/2008
Expires: 1/31/2025
Temp. Ltr. Issued: 3/29/2007
Temp. Ltr. Expires: 3/15/2008
License Type: Physical Therapist
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2026
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:
ST ANTHONY
1000 N LEE
OKLAHOMA CITY OK 73110

Phone #: (405) 272-7443
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JOSEPHINE HAFNER-BONOVICH TA 1145
MITZI JILL MULFORD TA 758

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