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Last Update: Sunday, October 13, 2024 6:47 PM CDT
Next Update: Monday, October 14, 2024 2:50 AM CDT
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STEPHENSON, SHADOW DRUM
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Practice Address: |
MAPLE LAWN NURSING & REHAB
800 ARAPAHO AVE
HYDRO OK 73048
Address last updated on 4/26/2024 |
Phone #: |
(405) 663-2488 |
Fax #: |
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County: |
CADDO |
License: |
2959 |
Dated: |
7/18/2018 |
Expires: |
1/31/2025 |
Temp.
Ltr.
Issued:
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7/17/2018 |
Temp.
Ltr.
Expires:
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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
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PTC |
12281 |
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