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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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NEAL, SHAKOTA LACY CHEYENNE       
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: SSM HEALTH BONE AND JOINT / OSOI
1110 N LEE AVE STE 200
OKLAHOMA CITY OK 73102

Address last updated on 9/2/2024
Phone #: (405) 218-2530
Fax #:
County: OKLAHOMA
License: 1365
Dated: 9/1/2024
Expires: 8/31/2025
Temp. Ltr. Issued: 5/24/2024
Temp. Ltr. Expires: 9/19/2024
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:
SSM HEALTH BONE AND JOINT / OSOI
1110 N LEE AVE STE 200
OKLAHOMA CITY OK 73102

Phone #: (405) 218-2530
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
GEORGE GHATA MD 32460

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