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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 22, 2024 1:58 PM CST
Next Update: Friday, November 22, 2024 4:30 PM CST

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HENDERSHOT, CHESTER ALAN JR.       
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: OU HEALTH ER & URGENT CARE
709 N CZECH HALL RD
YUKON OK 73099

Address last updated on 3/7/2024
Phone #: (405) 494-8600
Fax #:
County: CANADIAN
License: 2821
Dated: 12/19/2017
Expires: 3/31/2025
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:
OU HEALTH ER & URGENT CARE
709 N CZECH HALL RD
YUKON OK 73099

Phone #: (405) 494-8600
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JUSTIN GRAHAM DOCKENDORF MD 23662
RANDALL EDWARD HERRIN MD 24698
TIMOTHY DAVID HERRINGTON MD 29969
MARK ANDREW KEUCHEL DO 5580
JAMES LE DO 5402
Andrew Joseph Lovell DO 5921
STEVEN MARK ROSS MD 33718

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