BLOSSMAN, WENDY ANNE - Licensee Information

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BLOSSMAN, WENDY ANNE

Practice Address:	Not Currently Practicing BROKEN BOW OK 74728
Phone #:
Fax #:
County:	MCCURTAIN
License:	782
Dated:	9/23/1996
Expires:	3/31/1999
Temp. Ltr. Issued:	9/20/1996
Temp. Ltr. Expires:	11/16/1996
License Type:	Physician Assistant
Specialty:

Status:	Inactive
Status Class:	Disciplinary Action
Restricted to:
CME Year:

Pending and/or Past Disciplinary Actions:

Date

Action

Reasons

Remarks

5/7/1999

Surrendered License

5/29/1998

Probation

Board Filings and/or Orders:
05/07/1999

All information below is entered by the licensee but not verified by the Oklahoma Medical Board.

Locations:	Hours:	Languages:
Not Currently Practicing BROKEN BOW OK 74728 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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