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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, May 6, 2024 6:57 PM CDT
Next Update: Tuesday, May 7, 2024 2:50 AM CDT

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JACOBS, MIRANDA ELISE
Practice Address: No Current Practice Address
OK

Address last updated on 3/2/2023
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 2454
Dated: 11/7/2022
Expires: 10/31/2023
Temp. Ltr. Issued: 8/15/2022
Temp. Ltr. Expires: 11/17/2022
License Type: Occupational Therapy Assistant
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:
No Current Practice Address
OK

Phone #:
Fax #:

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