Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

Return to Search Licensees page

ENNIS, CHERI LYNN       
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: JACK C MONTGOMERY VAMC
1011 HONOR HTS DR
MUSKOGEE OK 74401

Address last updated on 3/24/2024
Phone #: (918) 577-1207
Fax #:
County: WAGONER
License: 883
Dated: 4/1/1998
Expires: 3/31/2025
Temp. Ltr. Issued: 12/4/1997
Temp. Ltr. Expires: 12/4/1998
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:
JACK C MONTGOMERY VAMC
1011 HONOR HTS DR
MUSKOGEE OK 74401

Phone #: (918) 577-1207
Fax #:

Hospital Privileges:

Oklahoma Surgical Hospital (formerly Orthopedic Hospital of Oklahoma)
Tulsa, OK
V.A. Medical Center-Muskogee
Muskogee, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
Shanna Elaine Hampton DO 4642
BRENT C MCANULTY MD 25848
Angie Miller DO 4215
ZIAD SOUS MD 18415

Return to Search Licensees page