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SPENCER, CHARLA CUSHING       
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: OB/GYN DEPT
920 S L YOUNG 2WP-2355
OKLAHOMA CITY OK 73104
Phone #:
Fax #:
County: OKLAHOMA
License: 20278
Dated: 7/10/1997
Expires: 7/1/2000
Training Issued: 7/1/1996
Training Expires: 8/1/1997
License Type: Medical Doctor
Specialty: Obstetrics & Gynecology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ms Sch Of Med, Jackson Ms 39216
Graduated: 5 / 1996
CME Year: 2000
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
OB/GYN DEPT
920 S L YOUNG 2WP-2355
OKLAHOMA CITY OK 73104

Phone #:
Fax #:

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