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Oklahoma Board of Medical Licensure and Supervision

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

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LEU, STEPHANIE DAWN
Practice Address: CHICKASAW NATION DEPARTMENT OF HEALTH
1921 STONECIPHER BLVD
ADA OK 74820

Address last updated on 2/1/2024
Phone #: (580) 436-3980
Fax #:
County: PONTOTOC
License: 1098
Dated: 4/1/2001
Expires: 3/31/2025
Temp. Ltr. Issued: 12/21/2000
Temp. Ltr. Expires: 3/31/2001
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:
CHICKASAW NATION DEPARTMENT OF HEALTH
1921 STONECIPHER BLVD
ADA OK 74820

Phone #: (580) 436-3980
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
THEODORE MARK RUTLEDGE MD 33535

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