PROCTOR, ERRON CODY - 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

PROCTOR, ERRON CODY

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:	CENTRAL OKLAHOMA FAMILY MEDICAL CENTER 527 W THIRD ST KONAWA OK 74849 Address last updated on 3/25/2024
Phone #:	(580) 925-3286
Fax #:
County:	SEMINOLE
License:	1410
Dated:	1/28/2005
Expires:	3/31/2025
Temp. Ltr. Issued:	12/16/2004
Temp. Ltr. Expires:	4/2/2005
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:
CENTRAL OKLAHOMA FAMILY MEDICAL CENTER 527 W THIRD ST KONAWA OK 74849 Phone #: (580) 925-3286 Fax #:

Hospital Privileges:

Chickasaw Nation Medical Ctr (fmly Carl Albert Indian Health Facility-IHS)
Ada, OK

Name:	Type:	License Number:
Primary Supervisor(s):
WILLIAM H. CHESSER	DO	3093
BRIAN GADDIS	DO	5037
STEVEN GEARHART	DO	5214
CHARLES RICHARD VEST	MD	10673

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