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Last Update: Tuesday, May 14, 2024 7:02 PM CDT
Next Update: Wednesday, May 15, 2024 2:50 AM CDT
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LIVELY, JACOB THOMAS
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| Practice Address: |
CUTTING EDGE PT
526 SW 4TH ST
MOORE OK 73160
Address last updated on 1/11/2024 |
| Phone #: |
(405) 759-2700 |
| Fax #: |
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| County: |
CLEVELAND |
| License: |
3262 |
| Dated: |
10/16/2020 |
| Expires: |
1/31/2025 |
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Temp.
Ltr.
Issued:
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5/29/2020 |
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Temp.
Ltr.
Expires:
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1/8/2021 |
| 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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