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HENSLEY, DAVID MARK       
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: INTEGRIS BLACKWELL REGIONAL HOISPITAL
710 S 13TH STREET
BLACKWELL OK 74631
Phone #:
Fax #:
County: KAY
License: 1797
Dated: 6/5/2000
Expires: 6/30/2002
Temp. Ltr. Issued: 4/13/2000
Temp. Ltr. Expires: 7/29/2000
License Type: Respiratory Care Practitioner
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
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:
INTEGRIS BLACKWELL REGIONAL HOISPITAL
710 S 13TH STREET
BLACKWELL OK 74631

Phone #:
Fax #:

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