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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, April 23, 2024 6:58 PM CDT
Next Update: Wednesday, April 24, 2024 2:50 AM CDT

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PENNER, MADELINE ANNE
Practice Address: ARUBAH COMMUNITY CLINIC (VOLUNTEER)
1021 W. MAIN
COLLINSVILLE OK 74021-3131

Address last updated on 3/12/2024
Phone #: (918) 371-3806
Fax #:
County: ROGERS
License: 2437
Dated: 1/15/2015
Expires: 3/31/2025
Temp. Ltr. Issued: 1/5/2015
Temp. Ltr. Expires: 1/16/2015
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:
ARUBAH COMMUNITY CLINIC (VOLUNTEER)
1021 W. MAIN
COLLINSVILLE OK 74021-3131

Phone #: (918) 371-3806
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JOHN GLADSTONE ABRAHAM MD 27255
ABEL LEE LAU MD 17057
LEAH UPTON DO 5453

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