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Oklahoma Board of Medical Licensure and Supervision

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JOHNSON, CHERYL LEE       
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: PONCA CITY MEDICAL CENTER
1900 NORTH 14TH STREET
PONCA CITY OK 74604

Address last updated on 1/2/2015
Phone #: (580) 765-0518
Fax #:
County: KAY
License: 389
Dated: 2/15/1995
Expires: 1/31/2016
Temp. Ltr. Issued: 1/19/1995
Temp. Ltr. Expires: 3/25/1995
License Type: Physical Therapist Assistant
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2016
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:
PONCA CITY MEDICAL CENTER
1900 NORTH 14TH STREET
PONCA CITY OK 74604

Phone #: (580) 765-0518
Fax #:

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