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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, August 14, 2020 4:43 PM CDT
Next Update: Saturday, August 15, 2020 2:50 AM CDT

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MIXON, KIMBERLEE RENEE
Practice Address: No Current Practice Address
Address last updated on 11/5/2018
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 1288
Dated: 9/23/2004
Expires: 11/5/2018
Temp. Ltr. Issued: 8/23/2004
Temp. Ltr. Expires: 9/23/2004
License Type: Physician Assistant
Specialty:
Status: Inactive
Status Class: Disciplinary Action
Restricted to:
CME Year: 2019
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
11/5/2018 Surrendered License Alcohol Abuse
6/15/2018 Complaint Citation Allegations as Listed in the Complaint
Alcohol Abuse
11/19/2014 Probation Ended
7/25/2013 Modification Order Probation modified to allow prescribing of Schedule II CDS for Hospital patients.
11/4/2010 Modification Order Allowed to prescribe III, IV & V's controlled substances
Pending and/or past disciplinary action(s) on file. Contact Board for more details.
Board Filings and/or Orders:
11/05/2018
06/15/2018
06/15/2018
08/02/2013
11/04/2010
Past board filing(s) and/or order(s) on file. Contact Board for more details.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
No Current Practice Address
Phone #:
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s): None

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