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SHAY, ROBERT LEROY       
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: MERCY OF ADA
430 NORTH MONTA VISTA
ADA OK 74820-9988

Address last updated on 2/6/2014
Phone #: (580) 332-2323 x1157
Fax #:
County: PONTOTOC
License: 29
Dated: 11/14/1995
Expires: 5/1/1998
License Type: Provisional Respiratory Care
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
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:
MERCY OF ADA
430 NORTH MONTA VISTA
ADA OK 74820-9988

Phone #: (580) 332-2323 x1157
Fax #:

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