NEAL, SHAKOTA LACY CHEYENNE - Licensee Information

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Last Update: Saturday, April 27, 2024 6:58 PM CDT
Next Update: Sunday, April 28, 2024 2:50 AM CDT

NEAL, SHAKOTA LACY CHEYENNE

Practice Address:	UNIVERSITY OF CENTRAL OKLAHOMA ATHLETIC TRAINING 100 N UNIVERSITY DR EDMOND OK 73034 Address last updated on 8/3/2023
Phone #:	(405) 974-5239
Fax #:
County:	OKLAHOMA
License:	838
Dated:	9/1/2022
Expires:	8/31/2024
Temp. Ltr. Issued:	7/29/2022
Temp. Ltr. Expires:	9/15/2022
License Type:	Apprentice Athletic Trainer
Specialty:

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:
UNIVERSITY OF CENTRAL OKLAHOMA ATHLETIC TRAINING 100 N UNIVERSITY DR EDMOND OK 73034 Phone #: (405) 974-5239 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
MEGAN MYFANWY BOLIN	AT	821