STUART, MARY ROSE - 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

STUART, MARY ROSE

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:	MCCURTAIN MEMORIAL HOSP 1301 E LINCOLN RD IDABEL OK 74745 Address last updated on 11/19/2024
Phone #:	(580) 208-3105
Fax #:	(580) 208-3161
County:	MCCURTAIN
License:	2152
Dated:	2/24/1994
Expires:	1/31/2025
License Type:	Physical Therapist
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:	2026

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:
MCCURTAIN MEMORIAL HOSP 1301 E LINCOLN RD IDABEL OK 74745 Phone #: (580) 208-3105 Fax #: (580) 208-3161

Name:	Type:	License Number:
Primary Supervisees(s):
SAERESA COLLINS AXTON	TA	1360
DUSTIN LEE BRANTLEY	TA	1554
SANDRA MAE BREVIESCAS COLE	TA	2843
KIMBERLIE DAWN HALL	TA	2046
VICTORIA JUNE JONES	TA	1630
KEVIN JEROME LEWIS	TA	1935
BEVERLY M. MOORE	TA	2103
MELISSA DAWN PARKER	TA	3193
WESLEY HOLT RHOADES	TA	1454

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