HORN, GALE III - Licensee Information - Oklahoma Medical Board

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

HORN, GALE III

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:	CHEROKEE NATION OUTPATIENT HEALTH CLINIC 19600 EAST ROSS ST TAHLEQUAH OK 74464 Address last updated on 12/9/2024
Phone #:	(539) 234-1900
Fax #:
County:	CHEROKEE
License:	2361
Dated:	10/19/2021
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: No Disciplinary Action Taken.

All information below is entered by the licensee but not verified by the Oklahoma Medical Board.

Locations:	Hours:	Languages:
CHEROKEE NATION OUTPATIENT HEALTH CLINIC 19600 EAST ROSS ST TAHLEQUAH OK 74464 Phone #: (539) 234-1900 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
JACQUELINE SUE MANUS	OT	5310

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