DOUMONT, SULLIVAN PAIGE - Licensee Information

Search Results

Last Update: Monday, April 15, 2024 6:57 PM CDT
Next Update: Tuesday, April 16, 2024 2:50 AM CDT

DOUMONT, SULLIVAN PAIGE

Practice Address:	ACCESS MEDICAL CENTER 9917 SE 15TH ST MIDWEST CITY OK 73130 Address last updated on 8/16/2016
Phone #:	(405) 622-2080
Fax #:
County:	OKLAHOMA
License:	2647
Dated:	2/3/2016
Expires:	3/31/2017
License Type:	Physician Assistant
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
CME Year:	2017

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:
ACCESS MEDICAL CENTER 9917 SE 15TH ST MIDWEST CITY OK 73130 Phone #: (405) 622-2080 Fax #:

Hospital Privileges:

None listed

Return to Search Licensees page

GDPR Notice

European Union Residents - GDPR Notice: In accordance with the Oklahoma Open Records Act, all applications submitted are a matter of public record. Social Security Numbers and any HIPAA-protected data are redacted. By applying for and retaining an Oklahoma Medical License, you are giving consent to share your information with anyone requesting it and waiving your right to be notified when your data is requested. We are also required to retain licensee records for a minimum of 10 years after the license expires, so any information submitted will remain a public record for that time period.

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
Contact Info