GREEN, SEAN EMMETT - Licensee Information

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GREEN, SEAN EMMETT

Practice Address:	CIMARRON MEDICAL CLINIC 1025 ELLIS BOISE CITY OK Address last updated on 7/19/2006
Phone #:
Fax #:
County:	CIMARRON
License:	1354
Dated:	5/10/2004
Expires:	3/31/2005
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:
CIMARRON MEDICAL CLINIC 1025 ELLIS BOISE CITY OK 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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