WOODRUFF, STEPHANIE GRACE - Licensee Information

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

WOODRUFF, STEPHANIE GRACE

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:	SANTA FE SOUTH CHARTER SCHOOLS 7000 CROSSROADS BLVD STE 4000 OKLAHOMA CITY OK 73149 Address last updated on 10/3/2024
Phone #:	(405) 601-5440
Fax #:
County:	OKLAHOMA
License:	753
Dated:	2/19/2013
Expires:	8/31/2025
Temp. Ltr. Issued:	10/19/2012
Temp. Ltr. Expires:	3/7/2013
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:
SANTA FE SOUTH CHARTER SCHOOLS 7000 CROSSROADS BLVD STE 4000 OKLAHOMA CITY OK 73149 Phone #: (405) 601-5440 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
TIMOTHY MICHAEL GEIB	MD	22888

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