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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Wednesday, April 24, 2024 2:50 AM CDT

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SELF, SUZANNE
Practice Address: No Current Practice Address
Address last updated on 3/19/2010
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 1048
Dated: 6/5/2000
Expires: 3/31/2011
Temp. Ltr. Issued: 5/4/2000
Temp. Ltr. Expires: 7/29/2000
License Type: Physician Assistant
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
7/14/2011 Surrendered License
12/10/2010 Complaint Citation
1/18/2009 Probation Ended
1/18/2007 Probation
12/10/2006 Complaint Citation
Board Filings and/or Orders:
07/14/2011
07/13/2011
12/03/2010
12/03/2010
12/10/2006
12/10/2006
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
No Current Practice Address
Phone #:
Fax #:

Hospital Privileges:

None listed

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