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Last Update: Sunday, May 5, 2024 4:03 AM CDT
Next Update: Sunday, May 5, 2024 12:00 PM CDT
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|
RAY, MADISON R |
| Practice Address: |
WILLOWCREST HOSPITAL
130 A STREET
MIAMI OK 74354
Address last updated on 8/17/2022 |
| Phone #: |
(918) 542-1836 |
| Fax #: |
|
| County: |
OTTAWA |
| License: |
264 |
| Dated: |
12/13/2022 |
| Expires: |
11/30/2024 |
|
Temp.
Ltr.
Issued:
|
9/19/2022 |
|
Temp.
Ltr.
Expires:
|
1/19/2023 |
| License Type: |
Therapeutic Recreation Specialist |
| Specialty: |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| CME Year: |
0 |
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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: |
|
KATIE DEAN LOGAN
|
TRS |
166 |
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