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Last Update: Saturday, April 27, 2024 1:44 PM CDT
Next Update: Saturday, April 27, 2024 4:30 PM CDT
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WALLACE, MACIE GRIER |
| Practice Address: |
Not Practicing as of 11/1/2019
Address last updated on 10/18/2023 |
| Phone #: |
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| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
1533 |
| Dated: |
11/1/2014 |
| Expires: |
10/31/2024 |
|
Temp.
Ltr.
Issued:
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8/22/2014 |
|
Temp.
Ltr.
Expires:
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11/7/2014 |
| License Type: |
Occupational Therapy Assistant |
| Specialty: |
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| Status: |
Active |
| Status Class: |
Not Practicing |
| Restricted to: |
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| CME Year: |
2024 |
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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: |
|
EMILY ANN BUSH
|
OT |
1658 |
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