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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, April 20, 2024 4:03 AM CDT
Next Update: Saturday, April 20, 2024 12:00 PM CDT

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BLACKKETTER, ALISA NOEL
Practice Address: No Current Practice Address
Address last updated on 12/23/2021
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 2873
Dated: 3/2/2018
Expires: 1/31/2022
Temp. Ltr. Issued: 12/20/2017
Temp. Ltr. Expires: 3/8/2018
License Type: Physical Therapist Assistant
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2022
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:
No Current Practice Address
Phone #:
Fax #:

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