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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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CARTER, CYNTHIA ELLEN       
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: NORTHEASTERN HEALTH SYSTEMS
1400 E. DOWNING ST.
TAHLEQUAH OK 74464
Address last updated on 12/10/2024
Phone #: (918) 456-0641
Fax #:
County: CHEROKEE
License: 4638
Dated: 8/29/2012
Expires: 1/31/2026
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:
NORTHEASTERN HEALTH SYSTEMS
1400 E. DOWNING ST.
TAHLEQUAH OK 74464
Phone #: (918) 456-0641
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
HOLLY ANN GRABER TA 1803
SHEENA KAY JONES TA 3210
JENSEN ALEXIS MARTIN TA 3517
SHANNON RAE MCMILLEN TA 1925
ASHLEY CHEYENNE SEVILLA TA 2987
DALTON TY WHITEBIRD TA 3033

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