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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, April 16, 2024 3:07 PM CDT
Next Update: Wednesday, April 17, 2024 2:50 AM CDT

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PAINE, CHARLES STEPHEN JR
Practice Address: OKLAHOMA STATE PENITENTIARY
1301 N WEST ST.
MCALESTER OK 74502-3862

Address last updated on 8/15/2023
Phone #: (918) 423-4700
Fax #: (918) 423-6642
County: PITTSBURG
License: 28754
Dated: 10/11/2011
Expires: 10/1/2024
License Type: Medical Doctor
Specialty: General Practice
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: IN Univ Sch Of Med, Indianapolis In 46202
Graduated: 5 / 1987
CME Year: 2026
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.
Certifications:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
OKLAHOMA STATE PENITENTIARY
1301 N WEST ST.
MCALESTER OK 74502-3862

Phone #: (918) 423-4700
Fax #: (918) 423-6642
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ANGELA BRIXEY APRN 86497
TONYA DELANO APRN 5359
KEVIN GARRISON APRN 144

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