NICHOLS, STUART LEVOY - 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

NICHOLS, STUART LEVOY

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:	BLOUNT ORTHOPEDIC ASSOCIATES 525 WEST RIVER WOODS PARKWAY GLENDALE WI 53212 Address last updated on 10/3/2024
Phone #:	(414) 332-6262
Fax #:
County:	NOT OKLAHOMA
License:	80
Dated:	5/9/1992
Expires:	8/31/2025
Temp. Ltr. Issued:	2/28/1992
Temp. Ltr. Expires:	5/9/1992
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:
BLOUNT ORTHOPEDIC ASSOCIATES 525 WEST RIVER WOODS PARKWAY GLENDALE WI 53212 Phone #: (414) 332-6262 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
DEAN WAYNE ZIEGLER	MDC	37914

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