CHALK, KEVIN DEWAYNE - 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

CHALK, KEVIN DEWAYNE

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:	MEDICAL CENTER OF SOUTHEASTERN OKLAHOMA 1800 UNIVERSITY BLVD DURANT OK 74701 Address last updated on 9/5/2023
Phone #:	(580) 924-3080
Fax #:
County:	BRYAN
License:	2599
Dated:	9/12/2005
Expires:	9/30/2025
Temp. Ltr. Issued:	8/11/2005
Temp. Ltr. Expires:	9/25/2005
License Type:	Respiratory Care Practitioner
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:	0

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:
MEDICAL CENTER OF SOUTHEASTERN OKLAHOMA 1800 UNIVERSITY BLVD DURANT OK 74701 Phone #: (580) 924-3080 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisees(s):
THERESA M SAUNDERS	RC	6486

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