JOHNSON, LISA MARIE - Licensee Information

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Last Update: Tuesday, April 23, 2024 6:58 PM CDT
Next Update: Wednesday, April 24, 2024 2:50 AM CDT

JOHNSON, LISA MARIE

Practice Address:	No Current Practice Address Address last updated on 3/5/2015
Phone #:
Fax #:
County:	NOT OKLAHOMA
License:	1338
Dated:	4/1/2004
Expires:	3/31/2015
Temp. Ltr. Issued:	1/8/2004
Temp. Ltr. Expires:	5/22/2004
License Type:	Physician Assistant
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
CME Year:	0

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:
No Current Practice Address Phone #: Fax #:

Hospital Privileges:

None listed

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Oklahoma State Board of Medical Licensure and Supervision :: 101 NE 51st St, Oklahoma City, OK 73105-1821
Main Number: (405) 962-1400 :: Fax: (405) 962-1440 :: Complaints outside 405 area code: 1-800-381-4519
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