GENTRY, CASSANDRA MARIE - 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

GENTRY, CASSANDRA MARIE

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:	LIFESTANCE / FORMERLY BALANCE WOMEN'S HEALTH 1113 SW 30TH CT SUITE B MOORE OK 73160 Address last updated on 3/27/2024
Phone #:	(405) 676-5114
Fax #:	(405) 378-2776
County:	CLEVELAND
License:	1515
Dated:	2/16/2006
Expires:	3/31/2025
Temp. Ltr. Issued:	12/29/2005
Temp. Ltr. Expires:	5/13/2006
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:
LIFESTANCE / FORMERLY BALANCE WOMEN'S HEALTH 1113 SW 30TH CT SUITE B MOORE OK 73160 Phone #: (405) 676-5114 Fax #: (405) 378-2776

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
MELANIE FRANCES BARRETT	MD	33292
RACHEL JANE DALTHORP	MD	27766
MARIA ALEJANDRA PLATA	MD	32253
SEAN MICHAEL WHELAN	MD	25889

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