THOMPSON, SHAWN C - 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

THOMPSON, SHAWN C

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:	WAKITA COMMUNITY HEALTH CENTER 1153 CHEROKEE STREET WAKITA OK 73771 Address last updated on 12/3/2024
Phone #:	(580) 594-2292
Fax #:
County:	GRANT
License:	3886
Dated:
Expires:	3/13/2025
Temp. Ltr. Issued:	12/12/2024
Temp. Ltr. Expires:	3/13/2025
License Type:	Physical Therapist Assistant
Specialty:

Status:	Active
Status Class:	Temporary
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:
WAKITA COMMUNITY HEALTH CENTER 1153 CHEROKEE STREET WAKITA OK 73771 Phone #: (580) 594-2292 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
MICHAEL GLEN GRIFFITH	PT	3524

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