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Oklahoma Board of Medical Licensure and Supervision

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LARISCY, COURTNEY BREANNE
Practice Address: ST ANTHONY'S BEHAVIORAL MEDICINE
OKLAHOMA CITY OK 73102

Address last updated on 10/12/2016
Phone #: (405) 272-6216
Fax #:
County: OKLAHOMA
License: 172
Dated: 9/15/2016
Expires: 11/30/2018
Temp. Ltr. Issued: 7/12/2016
Temp. Ltr. Expires: 9/22/2016
License Type: Therapeutic Recreation Specialist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 0
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:
ST ANTHONY'S BEHAVIORAL MEDICINE
OKLAHOMA CITY OK 73102

Phone #: (405) 272-6216
Fax #:

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