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Last Update: Sunday, April 28, 2024 4:03 AM CDT
Next Update: Sunday, April 28, 2024 12:00 PM CDT
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|
RICHARDSON, MICHAEL SHANE |
| Practice Address: |
OAK STREET HEALTH
7521 SE 15TH ST
MIDWEST CITY OK 73110
Address last updated on 3/28/2024 |
| Phone #: |
(405) 453-8004 |
| Fax #: |
(405) 561-4857 |
| County: |
OKLAHOMA |
| License: |
1615 |
| Dated: |
1/29/2007 |
| Expires: |
3/31/2025 |
|
Temp.
Ltr.
Issued:
|
1/19/2007 |
|
Temp.
Ltr.
Expires:
|
5/19/2007 |
| License Type: |
Physician Assistant |
| Specialty: |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| CME Year: |
2025 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Hospital Privileges:
None listed
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