JOHNSON, DAVID MICHAEL - Licensee Information

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Last Update: Sunday, April 28, 2024 1:44 PM CDT
Next Update: Sunday, April 28, 2024 4:30 PM CDT

JOHNSON, DAVID MICHAEL

Practice Address:	WS KEY CORRECTIONAL CENTER ONE WILLIAM S KEY BLVD FORT SUPPLY OK 73841 Address last updated on 2/10/2014
Phone #:	(580) 766-2224
Fax #:
County:	WOODWARD
License:	2022
Dated:	7/14/2011
Expires:	3/31/2015
Temp. Ltr. Issued:	5/19/2011
Temp. Ltr. Expires:	7/15/2011
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:
WS KEY CORRECTIONAL CENTER ONE WILLIAM S KEY BLVD FORT SUPPLY OK 73841 Phone #: (580) 766-2224 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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