DAVIS, STACEY LYN - Licensee Information

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Last Update: Thursday, April 25, 2024 12:02 PM CDT
Next Update: Thursday, April 25, 2024 4:30 PM CDT

DAVIS, STACEY LYN

Practice Address:	ALTUS HIGH SCHOOL ALTUS OK 73521 Address last updated on 9/3/2023
Phone #:
Fax #:
County:	JACKSON
License:	357
Dated:	9/11/2003
Expires:	8/31/2024
Temp. Ltr. Issued:	9/4/2003
Temp. Ltr. Expires:	9/13/2003
License Type:	Athletic Trainer
Specialty:

Status:	Active
Status Class:	Fully Licensed
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:
ALTUS HIGH SCHOOL ALTUS OK 73521 Phone #: Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
ZACHARY VAUGHN ROBERTS	MD	25625

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European Union Residents - GDPR Notice: In accordance with the Oklahoma Open Records Act, all applications submitted are a matter of public record. Social Security Numbers and any HIPAA-protected data are redacted. By applying for and retaining an Oklahoma Medical License, you are giving consent to share your information with anyone requesting it and waiving your right to be notified when your data is requested. We are also required to retain licensee records for a minimum of 10 years after the license expires, so any information submitted will remain a public record for that time period.

Oklahoma State Board of Medical Licensure and Supervision :: 101 NE 51st St, Oklahoma City, OK 73105-1821
Main Number: (405) 962-1400 :: Fax: (405) 962-1440 :: Complaints outside 405 area code: 1-800-381-4519
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