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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, April 19, 2024 8:43 AM CDT
Next Update: Friday, April 19, 2024 12:00 PM CDT

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MIXON, KIMBERLEE RENEE
Practice Address: No Current Practice Address
Address last updated on 11/5/2018
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 1288
Dated: 9/23/2004
Expires: 11/5/2018
Temp. Ltr. Issued: 8/23/2004
Temp. Ltr. Expires: 9/23/2004
License Type: Physician Assistant
Specialty:
Status: Inactive
Status Class: Disciplinary Action
Restricted to:
CME Year: 2023
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
11/5/2018 Surrendered License
6/15/2018 Complaint Citation
11/19/2014 Probation Ended
7/25/2013 Modification Order
11/4/2010 Modification Order
11/19/2009 Probation
11/6/2008 Revoked License
6/2/2008 Complaint Citation
5/17/2007 Probation
2/9/2007 Complaint Citation
9/21/2006 Probation
8/24/2006 Complaint Citation
Board Filings and/or Orders:
11/05/2018
06/15/2018
06/15/2018
08/02/2013
11/04/2010
11/19/2009
11/06/2008
06/02/2008
06/02/2008
05/17/2007
02/08/2007
02/08/2007
09/21/2006
08/24/2006
08/24/2006
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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