BUCKNER, KAITLIN DAWN - Licensee Information

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BUCKNER, KAITLIN DAWN

Practice Address:	HASKELL COUNTY HEALTHCARE SYSTEM 401 NW H STREET STIGLER OK 74462 Address last updated on 3/13/2006
Phone #:	(918) 967-3355
Fax #:
County:	HASKELL
License:	1414
Dated:	2/22/2005
Expires:	3/31/2008
Temp. Ltr. Issued:	1/27/2005
Temp. Ltr. Expires:	4/2/2005
License Type:	Physician Assistant
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
CME Year:	0

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:
HASKELL COUNTY HEALTHCARE SYSTEM 401 NW H STREET STIGLER OK 74462 Phone #: (918) 967-3355 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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