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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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SALLEE, CASSANDRA LEIGH       
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: 818 16TH AVE NW
ARDMORE OK 73401

Address last updated on 2/23/2024
Phone #: (580) 226-2171
Fax #:
County: CARTER
License: 1173
Dated: 4/1/2002
Expires: 3/31/2025
Temp. Ltr. Issued: 1/24/2002
Temp. Ltr. Expires: 3/31/2002
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2025
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:
818 16TH AVE NW
ARDMORE OK 73401

Phone #: (580) 226-2171
Fax #:

Hospital Privileges:

Mercy Memorial Health Center, Inc. - Ardmore
Ardmore, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
NOEL W EMERSON DO 3521
WAYNE FLATT DO 2521
HARRY DAVID GALOOB MD 9404
VICTORIA E. PARDUE DO 2840

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