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THOMPSON, SHANNON PAUL
Practice Address: Not Currently Practicing
BROKEN ARROW OK 74014
Phone #:
Fax #:
County: TULSA
License: 19506
Dated: 8/24/1995
Expires: 12/20/1996
Training Issued: 6/23/1994
Training Expires: 6/1/1996
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Disciplinary Action
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Tx Med Branch Galveston, Galveston Tx 77550
Graduated: 5 / 1994
CME Year:
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
1/13/1997 Revoked License
12/20/1996 Suspension, License
Board Filings and/or Orders:
01/13/1997
12/20/1996
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
Not Currently Practicing
BROKEN ARROW OK 74014

Phone #:
Fax #:

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