SPENCER, MARK LOUIS - Licensee Information

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Last Update: Tuesday, May 7, 2024 9:05 AM CDT
Next Update: Tuesday, May 7, 2024 12:00 PM CDT

SPENCER, MARK LOUIS

Practice Address:	1316 EAST 123RD TERRACE #D OLATHE KS 66061
Phone #:
Fax #:
County:	NOT OKLAHOMA
License:	668
Dated:	6/24/1994
Expires:	3/31/1999
Temp. Ltr. Issued:	3/7/1994
Temp. Ltr. Expires:	7/23/1994
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:
1316 EAST 123RD TERRACE #D OLATHE KS 66061 Phone #: 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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