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Oklahoma Board of Medical Licensure and Supervision

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

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SIMMERMAN, ERIN       
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
ATHLETIC CENTER 200
STILLWATER OK 74078
Address last updated on 7/11/2023
Phone #: (405) 744-6465
Fax #:
County: PAYNE
License: 1308
Dated: 2/23/2023
Expires: 8/31/2025
Temp. Ltr. Issued: 8/15/2022
Temp. Ltr. Expires: 3/16/2023
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
ATHLETIC CENTER 200
STILLWATER OK 74078
Phone #: (405) 744-6465
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
VAL GENE IVEN MD 17462
Jason R. Moore DO 6450

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