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Next Update: Saturday, April 27, 2024 2:50 AM CDT

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DAVIS, STACEY LYN
Practice Address: ALTUS HIGH SCHOOL
ALTUS OK 73521

Address last updated on 9/3/2023
Phone #:
Fax #:
County: JACKSON
License: 485
Dated: 8/22/1996
Expires: 1/31/2021
Temp. Ltr. Issued: 7/5/1996
Temp. Ltr. Expires: 9/27/1996
License Type: Physical Therapist Assistant
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2022
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 #:

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