HICKMAN, EDWARD LYNN - 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

HICKMAN, EDWARD LYNN

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:	REHAB SERVICES 3721 FREE FERRY RD FORT SMITH AR 72903 Address last updated on 3/8/2024
Phone #:	(479) 806-0411
Fax #:
County:	NOT OKLAHOMA
License:	807
Dated:	5/30/1979
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:
REHAB SERVICES 3721 FREE FERRY RD FORT SMITH AR 72903 Phone #: (479) 806-0411 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisees(s):
WILLIAM JASON SHACKELFORD	TA	757

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