WALLACE, CHERYL A - Licensee Information

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

WALLACE, CHERYL A

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 72908 Address last updated on 10/27/2024
Phone #:	(866) 410-1740
Fax #:	(479) 410-1596
County:	NOT OKLAHOMA
License:	602
Dated:	3/19/1994
Expires:	10/31/2025
License Type:	Occupational Therapist
Specialty:	Gerontology (OT/OA only)

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 72908 Phone #: (866) 410-1740 Fax #: (479) 410-1596

Name:	Type:	License Number:
Primary Supervisees(s):
CARLEE RAE ELIZABETH GOTHARD	OA	2549
PETER NDUATI MWANGI	OA	1987
JENNIFER KAY WARD	OA	641

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