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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, April 24, 2024 4:32 AM CDT
Next Update: Wednesday, April 24, 2024 12:00 PM CDT

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JOHNSTON, CARL BRADLEY III
Practice Address: LEXINGTON A & R CENTER
15151 HWY 39
LEXINGTON OK 73051

Address last updated on 3/21/2024
Phone #: (405) 527-5676 x5595
Fax #:
County: CLEVELAND
License: 1039
Dated: 6/5/2000
Expires: 3/31/2025
Temp. Ltr. Issued: 2/25/2000
Temp. Ltr. Expires: 7/29/2000
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2025
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:
LEXINGTON A & R CENTER
15151 HWY 39
LEXINGTON OK 73051

Phone #: (405) 527-5676 x5595
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
ROSS LANE FISHER MD 15687
MICHAEL SHAWN HOUSTON MD 25279

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