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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, April 19, 2024 6:57 PM CDT
Next Update: Saturday, April 20, 2024 2:50 AM CDT

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MCDANIEL, JACKIE WAYNE
Practice Address: CHICKASAW NATION HEALTH SYSTEM
229 W SEABROOK
ADA OK 74820

Address last updated on 1/4/2024
Phone #: (580) 310-6635
Fax #:
County: PONTOTOC
License: 1265
Dated: 12/11/2003
Expires: 1/31/2025
Temp. Ltr. Issued: 9/4/2003
Temp. Ltr. Expires: 4/18/2004
License Type: Physical Therapist Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2026
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:
CHICKASAW NATION HEALTH SYSTEM
229 W SEABROOK
ADA OK 74820

Phone #: (580) 310-6635
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
LINDSY NICHOL WELLS PT 5222

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