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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, April 26, 2024 11:33 AM CDT
Next Update: Friday, April 26, 2024 4:30 PM CDT

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JOHNSON, DENISE WAYNETTE
Practice Address: CLINTON ODVA
1901 59TH
CLINTON OK 73601

Address last updated on 3/15/2024
Phone #: (580) 331-2296
Fax #:
County: CUSTER
License: 1898
Dated: 4/16/2010
Expires: 3/31/2025
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2025
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:
CLINTON ODVA
1901 59TH
CLINTON OK 73601

Phone #: (580) 331-2296
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
DREW KEVIN COOPER MD 19879

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