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Last Update: Wednesday, May 1, 2024 1:43 PM CDT
Next Update: Wednesday, May 1, 2024 4:30 PM CDT
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SMITH, CONNIE SUE |
| Practice Address: |
FIVE STAR INTERLOCAL CO-OP
1405 E MOSES
CUSHING OK 74023
Address last updated on 1/31/2024 |
| Phone #: |
(918) 225-5600 |
| Fax #: |
(918) 225-3026 |
| County: |
PAYNE |
| License: |
596 |
| Dated: |
10/16/1997 |
| Expires: |
1/31/2025 |
|
Temp.
Ltr.
Issued:
|
7/31/1997 |
|
Temp.
Ltr.
Expires:
|
11/22/1997 |
| 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):
|
| Name: |
Type: |
License Number: |
Full/Part Time: |
|
SHELLEY KAY LANE
|
PT |
1484 |
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