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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, May 13, 2024 6:57 PM CDT
Next Update: Tuesday, May 14, 2024 2:50 AM CDT

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PIERCE-DUTCH, STACIE LYNN       
Practice Address: RALPH H JOHNSON VAMC
109 BEE ST
CHARLESTON SC 29401

Address last updated on 2/21/2024
Phone #: (843) 577-5011
Fax #:
County: NOT OKLAHOMA
License: 2809
Dated: 8/2/2017
Expires: 3/31/2025
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2025
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:
RALPH H JOHNSON VAMC
109 BEE ST
CHARLESTON SC 29401

Phone #: (843) 577-5011
Fax #:

Hospital Privileges:

Hospital(s) Not In Oklahoma
,

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
ANDREW LEE FOOTE MD 24534
ELIZABETH ANN FOOTE MD 24533
ROBERT CHRISTIAN WARD MD 31608

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