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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, April 19, 2024 6:57 PM CDT
Next Update: Saturday, April 20, 2024 2:50 AM CDT

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HANNA, ROBERT DEAN
Practice Address: 1505 N. COMMERCE #203
ARDMORE OK 73401

Address last updated on 2/9/2024
Phone #: (580) 223-6555
Fax #:
County: CARTER
License: 947
Dated: 4/1/1999
Expires: 3/31/2025
Temp. Ltr. Issued: 1/14/1999
Temp. Ltr. Expires: 3/31/1999
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:
1505 N. COMMERCE #203
ARDMORE OK 73401

Phone #: (580) 223-6555
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JOSEPH ARTHUR HORSTMAN MD 29149
JOHN DOUGLAS RANDOLPH MD 13800

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