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Oklahoma Board of Medical Licensure and Supervision

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ALSUP, CYNTHIA ANN       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: SAINT ANTHONYS PHYSICIANS - SHAWNEE
3315 KETHLEY
SHAWNEE OK 74804

Address last updated on 8/26/2012
Phone #: (405) 273-5801
Fax #: (405) 395-3974
County: POTTAWATOMIE
License: 16695
Dated: 10/14/1988
Expires: 8/1/2013
License Type: Medical Doctor
Specialty: Obstetrics & Gynecology
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1987
CME Year: 2015
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.
Certifications: AMERICAN BOARD OF OBSTETRICS AND GYNECOLOGY
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
SAINT ANTHONYS PHYSICIANS - SHAWNEE
3315 KETHLEY
SHAWNEE OK 74804

Phone #: (405) 273-5801
Fax #: (405) 395-3974

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