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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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SHORES, MICHAEL DAVID       
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 MEMORIAL HOSPITAL
1011 14TH AVE NW
ARDMORE OK 73401

Address last updated on 1/3/2024
Phone #: (580) 220-6501
Fax #: (580) 220-6105
County: CARTER
License: 4441
Dated: 7/8/2011
Expires: 1/31/2025
License Type: Physical Therapist
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:
MERCY MEMORIAL HOSPITAL
1011 14TH AVE NW
ARDMORE OK 73401

Phone #: (580) 220-6501
Fax #: (580) 220-6105
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
LEZLIE RAELYNN BOWER TA 3630
REBECCA MARIE BOWLING TA 3869
JAMIE LEE CHAVERS TA 1832
MARK ANTHONY DAVIS TA 896
ROGER BRYCE FERGUSON TA 3195
KIMBERLY DAWN HARRIS TA 1437
CHERYL A JONES TA 1107
ANDREW JAMES MCARTHUR TA 2203
JONATHAN DAVID MCMASTERS TA 2573
JULIE A. MYER TA 858
ANA LIZBETH PEREZ TA 3340
RAFAEL ALEXANDER PINEDA TA 1193
CANDICE BROOK RYAN TA 1400
LAUREN JAMIE STEELE TA 1824
TAYLOR JEAN STEWART TA 2716
GREGORY ROBERT STUBBS TA 2441

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