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Oklahoma Board of Medical Licensure and Supervision

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HODGE, SHANE CAVERLY       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: MUSKOGEE REGIONAL MEDICAL CENTER
300 ROCKEFELLER DR
MUSKOGEE OK 74401

Address last updated on 2/20/2013
Phone #: (918) 682-5501
Fax #:
County: MUSKOGEE
License: 3203
Dated: 3/17/2009
Expires: 3/31/2015
Temp. Ltr. Issued: 12/12/2008
Temp. Ltr. Expires: 3/27/2009
License Type: Respiratory Care Practitioner
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 0
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:
MUSKOGEE REGIONAL MEDICAL CENTER
300 ROCKEFELLER DR
MUSKOGEE OK 74401

Phone #: (918) 682-5501
Fax #:

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