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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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SMITH, DALTON CHRISTOPHER       
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: PAWHUSKA HOSPITAL INC
1101 E 15TH
PAWHUSKA OK 74056

Address last updated on 12/31/2023
Phone #: (918) 287-5300
Fax #:
County: OSAGE
License: 4139
Dated: 3/13/2009
Expires: 1/31/2025
Temp. Ltr. Issued: 9/16/2015
Temp. Ltr. Expires: 11/6/2015
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:
PAWHUSKA HOSPITAL INC
1101 E 15TH
PAWHUSKA OK 74056

Phone #: (918) 287-5300
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KATHRYN LINDSAY BURRIS TA 1592
KENDRA LEE FIXICO TA 3481
JEFFREY TODD JURNEY TA 444
CHRISTOPHER NEIL LARSEN TA 2013
JESSICA STARR LEATHERS TA 1670
DANA MARIE MCGILL TA 1548
TRENT STEVEN MCGOWN TA 3505
ASHLEY GAIL WILLIAMS TA 1954

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