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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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MCCORMICK, AMBER DAWNELL       
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: STEIN ANCILLARY SERVICES
8520 S 36TH TERRACE
FORT SMITH AR 73162

Address last updated on 10/12/2024
Phone #: (918) 436-9986
Fax #:
County: NOT OKLAHOMA
License: 900
Dated: 11/3/2005
Expires: 10/31/2025
Temp. Ltr. Issued: 9/9/2005
Temp. Ltr. Expires: 1/28/2006
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:
STEIN ANCILLARY SERVICES
8520 S 36TH TERRACE
FORT SMITH AR 73162

Phone #: (918) 436-9986
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JUAN PABLO CARRILLO OT 2086
KIMBERLY KAY GANTZ OT 795
KADREE GIBLET OT 5540
MASON JAMES SMITH OT 5648

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