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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, April 19, 2024 1:07 PM CDT
Next Update: Friday, April 19, 2024 4:30 PM CDT

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WAGENER, BETHANY GALE
Practice Address: DEPARTMENT OF CORRECTIONS
129 CONNER ROAD
HOMINY OK 74034

Address last updated on 3/18/2024
Phone #: (918) 594-1300 x1596
Fax #:
County: OSAGE
License: 2006
Dated: 5/6/2011
Expires: 3/31/2025
Temp. Ltr. Issued: 1/28/2011
Temp. Ltr. Expires: 5/20/2011
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:
DEPARTMENT OF CORRECTIONS
129 CONNER ROAD
HOMINY OK 74034

Phone #: (918) 594-1300 x1596
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
LARRY DONNELL BOWLER MD 13178
PAULA BELLE GETTYS MD 15763
DONALD SUTMILLER DO 2274

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