DAUGHERTY, MARY KAY - Licensee Information

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Last Update: Saturday, November 23, 2024 3:48 AM CST
Next Update: Saturday, November 23, 2024 12:00 PM CST

DAUGHERTY, MARY KAY

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:	WW HASTINGS HOSPITAL 100 BLISS AVE TAHLEQUAH OK 74464 Address last updated on 8/25/2024
Phone #:	(918) 458-3100
Fax #:
County:	CHEROKEE
License:	4776
Dated:	5/2/2022
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:
WW HASTINGS HOSPITAL 100 BLISS AVE TAHLEQUAH OK 74464 Phone #: (918) 458-3100 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
STEPHN DRYWATER	MD	30727
THOMAS P. LEHMAN	MD	20240

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