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Last Update: Tuesday, April 23, 2024 4:03 AM CDT
Next Update: Tuesday, April 23, 2024 12:00 PM CDT
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|
CARMOUCHE', SHANNAN LEE |
| Practice Address: |
9800 BROADWAY EXTENSION SUITE 200
OKLAHOMA CITY OK 73114-6304
Address last updated on 2/4/2024 |
| Phone #: |
(405) 715-4496 |
| Fax #: |
(405) 715-4499 |
| County: |
CLEVELAND |
| License: |
1162 |
| Dated: |
4/1/2002 |
| Expires: |
3/31/2025 |
|
Temp.
Ltr.
Issued:
|
12/6/2001 |
|
Temp.
Ltr.
Expires:
|
3/31/2002 |
| License Type: |
Physician Assistant |
| Specialty: |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| CME Year: |
2025 |
|
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Hospital Privileges:
Community Hospital - OKC
Oklahoma City, OK
Northwest Surgical Hospital
Oklahoma City, OK
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