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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, January 21, 2018 6:13 PM CST
Next Update: Monday, January 22, 2018 2:50 AM CST

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CHEATHAM, SHANICE
Practice Address: GALLAGHER IBA ARENA
1046 WEST HALL OF FAME AVE
STILLWATER OK 74075

Address last updated on 7/29/2016
Phone #: (319) 431-5572
Fax #:
County: PAYNE
License: 956
Dated: 9/22/2016
Expires: 8/31/2018
Temp. Ltr. Issued: 8/23/2016
Temp. Ltr. Expires: 9/23/2016
License Type: Athletic Trainer
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 0
Disciplinary History: No Disciplinary Action Taken.
Locations: Hours: Languages:
GALLAGHER IBA ARENA
1046 WEST HALL OF FAME AVE
STILLWATER OK 74075

Phone #: (319) 431-5572
Fax #:

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