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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, May 5, 2024 1:39 PM CDT
Next Update: Sunday, May 5, 2024 4:30 PM CDT

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LENNON, JAKE OWEN
Practice Address: 121 CHAMPION WAY
CANONSBURG PA 15317

Address last updated on 9/20/2023
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 5756
Dated: 12/17/2019
Expires: 1/31/2024
Temp. Ltr. Issued: 10/17/2019
Temp. Ltr. Expires: 1/16/2020
License Type: Physical Therapist
Specialty:
Status: Inactive
Status Class: Expired License
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:
121 CHAMPION WAY
CANONSBURG PA 15317

Phone #:
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JENNIFER KAY WILLIAMS TA 2004

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