CARTER, WILLIAM KENNETH - Licensee Information

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

CARTER, WILLIAM KENNETH

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:	OKLAHOMA STATE UNIVERSITY 170 ATHLETICS CENTER STILLWATER OK 74078 Address last updated on 8/26/2024
Phone #:	(405) 744-1340
Fax #:
County:	PAYNE
License:	1264
Dated:	2/9/2022
Expires:	8/31/2025
Temp. Ltr. Issued:	8/30/2021
Temp. Ltr. Expires:	3/10/2022
License Type:	Athletic Trainer
Specialty:

Status:	Active
Status Class:	Fully Licensed
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:
OKLAHOMA STATE UNIVERSITY 170 ATHLETICS CENTER STILLWATER OK 74078 Phone #: (405) 744-1340 Fax #:

Name:	Type:	License Number:
Primary Supervisor(s):
VAL GENE IVEN	MD	17462
Jason R. Moore	DO	6450

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