Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

Last Update: Monday, May 6, 2024 6:57 PM CDT
Next Update: Tuesday, May 7, 2024 2:50 AM CDT

Return to Search Licensees page

MOONEYHAM, MANDY SUZANNE
Practice Address: WASHINGTON REGIONAL
3215 N. NORTH HILLS BLVD
FAYETTEVILLE AR 72703

Address last updated on 11/22/2021
Phone #: (479) 463-1065
Fax #:
County: NOT OKLAHOMA
License: 2266
Dated: 5/3/2013
Expires: 3/31/2015
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:
WASHINGTON REGIONAL
3215 N. NORTH HILLS BLVD
FAYETTEVILLE AR 72703

Phone #: (479) 463-1065
Fax #:

Hospital Privileges:

None listed

Return to Search Licensees page