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Last Update: Saturday, November 23, 2024 3:48 AM CST
Next Update: Saturday, November 23, 2024 12:00 PM CST

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DAVIS, STACEY LYN       
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: ALTUS HIGH SCHOOL
ALTUS OK 73521

Address last updated on 9/1/2024
Phone #:
Fax #:
County: JACKSON
License: 357
Dated: 9/11/2003
Expires: 8/31/2025
Temp. Ltr. Issued: 9/4/2003
Temp. Ltr. Expires: 9/13/2003
License Type: Athletic Trainer
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year:
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:
ALTUS HIGH SCHOOL
ALTUS OK 73521

Phone #:
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
ZACHARY VAUGHN ROBERTS MD 25625

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