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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, December 22, 2024 6:44 PM CST
Next Update: Monday, December 23, 2024 2:50 AM CST

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BOLIN, MEGAN MYFANWY       
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: UNIVERSITY OF CENTRAL OKLAHOMA
100 N. UNIVERSITY DR.
BOX 189
EDMOND OK 73034

Address last updated on 7/29/2024
Phone #: (405) 974-2959
Fax #:
County: OKLAHOMA
License: 821
Dated: 9/1/2014
Expires: 8/31/2025
Temp. Ltr. Issued: 6/27/2014
Temp. Ltr. Expires: 9/19/2014
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:
UNIVERSITY OF CENTRAL OKLAHOMA
100 N. UNIVERSITY DR.
BOX 189
EDMOND OK 73034

Phone #: (405) 974-2959
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
DAVID LLOYD SAXTON MD 22325
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ASHTON KAY BURKHEAD AA 873
DOMINIC CAIN AA 869
AUBREY GRACE COLOMBE AA 870
CARLY CRANFORD AA 864
HAYDEN DOYLE AA 859
MEGAN IRENE FABRIZIUS AA 862
BREANNA FRENCH AA 874
CHRISTIAN KEAVON GARDNER AA 866
MADISON TATE GILLHAM AA 875
MACKENZIE GOLDEN AA 841
ROSALINDA MARTINEZ AA 871
BRADEN JAMES MELSON AA 860
ATRACIA MOORE AA 876
DANIEL RIOS AA 867
EMMA SHADY AA 872
MILENA ELIZABETH STASTNY AA 857
MAKIA SULLIVAN AA 868
VICTORIA MARIE VICKERS AA 865
CATHY TAM VU AA 863
KOLBY BRYAN WATSON AA 861

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