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Oklahoma Board of Medical Licensure and Supervision

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MCBRIDE, SHON WYLIE       
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: No Current Practice Address
Address last updated on 2/19/2013
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 380
Dated: 12/15/1994
Expires: 1/31/2013
Temp. Ltr. Issued: 11/10/1994
Temp. Ltr. Expires: 3/25/1995
License Type: Physical Therapist Assistant
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2014
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
9/12/2013 Revoked License
5/17/2012 Probation
3/22/2012 Complaint Citation
Board Filings and/or Orders:
09/20/2013
08/09/2013
08/02/2013
05/10/2013
03/22/2013
03/22/2013
05/17/2012
03/16/2012
03/16/2012
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
No Current Practice Address
Phone #:
Fax #:

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