DAVIS, JASON WADE - Licensee Information

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Last Update: Thursday, April 25, 2024 7:02 PM CDT
Next Update: Friday, April 26, 2024 2:50 AM CDT

DAVIS, JASON WADE

Practice Address:	PACE OF THE OZARKS 3602 SW GIBSON AVE BENTONVILLE AR 72712-0001 Address last updated on 11/24/2022
Phone #:	(918) 961-0130
Fax #:
County:	NOT OKLAHOMA
License:	96
Dated:	12/20/2010
Expires:	11/30/2024
License Type:	Therapeutic Recreation Specialist
Specialty:

Status:	Active
Status Class:	Fully Licensed
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:
PACE OF THE OZARKS 3602 SW GIBSON AVE BENTONVILLE AR 72712-0001 Phone #: (918) 961-0130 Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
MERISSA BAILEY	TRS	235
HOLLIE LYNN MANSELL	TRS	251

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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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