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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, May 6, 2024 4:03 AM CDT
Next Update: Monday, May 6, 2024 12:00 PM CDT

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MODGLIN, ALLISON
Practice Address: MERCY VIRTUAL
15740 S OUTER FORTY RD
CHESTERFIELD MO 63017

Address last updated on 2/8/2024
Phone #: (636) 237-4200
Fax #:
County: NOT OKLAHOMA
License: 4828
Dated: 7/27/2022
Expires: 3/31/2025
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:
MERCY VIRTUAL
15740 S OUTER FORTY RD
CHESTERFIELD MO 63017

Phone #: (636) 237-4200
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
PHU VU MD 35694

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