SHADY, EMMA - Licensee Information - Oklahoma Medical Board

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

SHADY, EMMA

This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.

Practice Address:	UNIVERSITY OF CENTRAL OKLAHOMA 100 N UNIVERSITY DR BOX 189 EDMOND OK 73034 Address last updated on 8/13/2024
Phone #:	(405) 974-2959
Fax #:
County:	OKLAHOMA
License:	872
Dated:
Expires:	3/30/2025
Temp. Ltr. Issued:	8/27/2024
Temp. Ltr. Expires:	3/30/2025
License Type:	Apprentice Athletic Trainer
Specialty:

Status:	Active
Status Class:	Temporary
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:
UNIVERSITY OF CENTRAL OKLAHOMA 100 N UNIVERSITY DR BOX 189 EDMOND OK 73034 Phone #: (405) 974-2959 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
MEGAN MYFANWY BOLIN	AT	821

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