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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, April 18, 2024 6:52 PM CDT
Next Update: Friday, April 19, 2024 2:50 AM CDT

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SHACKELFORD, CHARLOTTE LOUISE
Practice Address: 999 HOSPITAL DRIVE
PURCELL OK 73080-1832

Address last updated on 3/7/2024
Phone #: (405) 527-5400
Fax #: (405) 527-7332
County: MCCLAIN
License: 746
Dated: 4/1/1996
Expires: 3/31/2025
Temp. Ltr. Issued: 8/3/1995
Temp. Ltr. Expires: 8/3/1996
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:
999 HOSPITAL DRIVE
PURCELL OK 73080-1832

Phone #: (405) 527-5400
Fax #: (405) 527-7332

Hospital Privileges:

Purcell Municipal Hospital
Purcell, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
DAVID BRYAN DYE MD 16529
RICKY RON SCHMIDT MD 15326

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