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Oklahoma Board of Medical Licensure and Supervision

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CHAFFIN, SAMUEL COLE       
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: ADAIR COUNTY HEALTH CENTER
PO BOX 272
STILWELL OK 74960

Address last updated on 5/1/2013
Phone #: (918) 696-3101
Fax #:
County: ADAIR
License: 4268
Dated: 7/23/2009
Expires: 1/31/2013
License Type: Physical Therapist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2014
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
5/17/2012 Suspension, License
3/27/2012 Complaint Citation
Board Filings and/or Orders:
05/17/2012
03/23/2012
03/23/2012
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
ADAIR COUNTY HEALTH CENTER
PO BOX 272
STILWELL OK 74960

Phone #: (918) 696-3101
Fax #:

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