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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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ODOM, DEBRA SUE |
Practice Address: |
SOUTHSIDE DERMATOLOGY
720 W 71ST ST SOUTH
TULSA OK 74132
Address last updated on 3/28/2024 |
Phone #: |
(918) 760-0700 |
Fax #: |
(918) 628-0700 |
County: |
TULSA |
License: |
1340 |
Dated: |
3/8/2004 |
Expires: |
3/31/2025 |
Temp.
Ltr.
Issued:
|
2/4/2004 |
Temp.
Ltr.
Expires:
|
5/22/2004 |
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:
None listed
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