CHAFFIN, SAMUEL COLE - Licensee Information

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CHAFFIN, SAMUEL COLE

Practice Address:	ADAIR COUNTY HEALTH CENTER PO BOX 272 STILWELL OK 74960 Address last updated on 5/1/2013
Phone #:	(918) 696-3101
Fax #:
County:	ADAIR
License:	4268
Dated:	7/23/2009
Expires:	1/31/2013
License Type:	Physical Therapist
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
CME Year:	2014

Pending and/or Past Disciplinary Actions:

Date

Action

Reasons

Remarks

5/17/2012

Suspension, License

3/27/2012

Complaint Citation

Board Filings and/or Orders:
05/17/2012
03/23/2012
03/23/2012

All information below is entered by the licensee but not verified by the Oklahoma Medical Board.

Locations:	Hours:	Languages:
ADAIR COUNTY HEALTH CENTER PO BOX 272 STILWELL OK 74960 Phone #: (918) 696-3101 Fax #:

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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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