Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

Last Update: Monday, January 6, 2025 6:42 PM CST
Next Update: Tuesday, January 7, 2025 2:50 AM CST

Return to Search Licensees page

KING, STACY HEATHER       
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: HILLCREST MANOR
1210 S 6TH
BLACKWELL OK 74631

Address last updated on 4/19/2022
Phone #: (580) 340-3728
Fax #:
County: KAY
License: 780
Dated: 2/18/2003
Expires: 1/30/2021
Temp. Ltr. Issued: 1/3/2003
Temp. Ltr. Expires: 3/29/2003
License Type: Occupational Therapy Assistant
Specialty: Developmental Problems (OT/OA only)
Activities of Daily Living (OT/OA only)
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2020
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
7/20/2007 Dismiss without Prejudice
6/18/2007 Complaint Citation
Board Filings and/or Orders:
07/20/2007
06/14/2007
06/14/2007
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
HILLCREST MANOR
1210 S 6TH
BLACKWELL OK 74631

Phone #: (580) 340-3728
Fax #:

Return to Search Licensees page