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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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WALKINGSTICK, CORY DALE       
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: RANCHWOOD NURSING CENTER
824 S YUKON PARKWAY
YUKON OK 73099

Address last updated on 10/10/2024
Phone #: (405) 354-2022
Fax #:
County: CANADIAN
License: 1194
Dated: 2/7/2011
Expires: 10/31/2025
License Type: Occupational Therapy Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2026
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
7/12/2017 Probation Ended
7/12/2012 Probation
6/11/2012 Complaint Citation
Board Filings and/or Orders:
07/12/2012
06/08/2012
06/08/2012
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
RANCHWOOD NURSING CENTER
824 S YUKON PARKWAY
YUKON OK 73099

Phone #: (405) 354-2022
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JEFFRY SHANNON KIMMEL OT 879

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