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Last Update: Friday, May 3, 2024 4:08 PM CDT
Next Update: Saturday, May 4, 2024 2:50 AM CDT
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|
PENNYBAKER, ALLISON ANN |
| Practice Address: |
ALLERGY CLINIC OF TULSA
9311 S MINGO RD
TULSA OK 74133
Address last updated on 4/26/2024 |
| Phone #: |
(918) 307-1613 |
| Fax #: |
|
| County: |
TULSA |
| License: |
5248 |
| Dated: |
4/24/2024 |
| Expires: |
3/31/2025 |
|
Temp.
Ltr.
Issued:
|
3/11/2024 |
|
Temp.
Ltr.
Expires:
|
5/16/2024 |
| License Type: |
Physician Assistant |
| Specialty: |
|
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
|
| CME Year: |
0 |
|
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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.
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Hospital Privileges:
None listed
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Primary Supervisor(s):
|
| Name: |
Type: |
License Number: |
Full/Part Time: |
|
JAMES TYRE LOVE JR
|
MD |
19665 |
|
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