MARTIN, SHANNON LAVONNE - Licensee Information

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Last Update: Friday, April 19, 2024 1:47 PM CDT
Next Update: Friday, April 19, 2024 4:30 PM CDT

MARTIN, SHANNON LAVONNE

Practice Address:	No Current Practice Address Address last updated on 4/1/2019
Phone #:
Fax #:
County:	NOT OKLAHOMA
License:	2298
Dated:	10/28/2013
Expires:	1/30/2021
Temp. Ltr. Issued:	9/12/2013
Temp. Ltr. Expires:	11/7/2013
License Type:	Physician Assistant
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
CME Year:	2020

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:
No Current Practice Address 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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