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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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HECK, SHERRY LEE       
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: ADA HEALTH FIRST
1414 ARLINGTON ST
SUITE 1400
ADA OK 74820

Address last updated on 10/11/2024
Phone #: (580) 279-1788
Fax #:
County: PONTOTOC
License: 1386
Dated: 11/4/2004
Expires: 3/31/2025
Temp. Ltr. Issued: 10/21/2004
Temp. Ltr. Expires: 11/4/2004
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:
ADA HEALTH FIRST
1414 ARLINGTON ST
SUITE 1400
ADA OK 74820

Phone #: (580) 279-1788
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
GLEN EDWARD DIACON JR MD 16231

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