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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, April 23, 2018 2:42 PM CDT
Next Update: Monday, April 23, 2018 4:30 PM CDT

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MOSBURG, BURLEENE
Practice Address: COWETA MEDICAL GROUP
28622 E 141ST STREET SOUTH
COWETA OK 74429

Address last updated on 2/15/2018
Phone #: (918) 486-7425
Fax #:
County: WAGONER
License: 546
Dated: 2/22/1990
Expires: 3/31/2019
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2019
Disciplinary History: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
COWETA MEDICAL GROUP
28622 E 141ST STREET SOUTH
COWETA OK 74429

Phone #: (918) 486-7425
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
BRADLEY TODD ANDERSON DO 3893
EDWARD SOKOLOSKY DO 1402

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