SELF, C MICHAEL - Licensee Information

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SELF, C MICHAEL

Practice Address:	VETERANS ADMINISTRATION HOSPITAL 921 NE 13TH OKLAHOMA CITY OK 73104 Address last updated on 2/2/2010
Phone #:	(405) 270-0501 x3798
Fax #:
County:	OKLAHOMA
License:	262
Dated:	1/15/1980
Expires:	3/31/2011
License Type:	Physician Assistant
Specialty:

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

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:
VETERANS ADMINISTRATION HOSPITAL 921 NE 13TH OKLAHOMA CITY OK 73104 Phone #: (405) 270-0501 x3798 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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