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Last Update: Thursday, May 2, 2024 5:08 PM CDT
Next Update: Friday, May 3, 2024 2:50 AM CDT
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STEPHENSON, SHADOW DRUM |
| Practice Address: |
MAPLE LAWN NURSING & REHAB
800 ARAPAHO AVE
HYDRO OK 73048
Address last updated on 4/26/2024 |
| Phone #: |
(405) 663-2488 |
| Fax #: |
|
| County: |
CADDO |
| License: |
2959 |
| Dated: |
7/18/2018 |
| Expires: |
1/31/2025 |
|
Temp.
Ltr.
Issued:
|
7/17/2018 |
|
Temp.
Ltr.
Expires:
|
9/13/2018 |
| License Type: |
Physical Therapist Assistant |
| Specialty: |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| CME Year: |
2026 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Primary Supervisor(s):
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| Name: |
Type: |
License Number: |
Full/Part Time: |
|
ALEXIS SCHMIDT
|
PTC |
12281 |
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