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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 22, 2024 6:42 PM CST
Next Update: Saturday, November 23, 2024 2:50 AM CST

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YARBROUGH, ARDRY LANCE       
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: 1590 W. LIBERTY RD
ATOKA OK 74525

Address last updated on 6/24/2024
Phone #: (580) 364-8205
Fax #:
County: ATOKA
License: 22046
Dated: 7/18/2002
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1997
CME Year: 2026
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
1/26/2006 Probation Ended
7/29/2004 Modification Order
9/11/2003 Modification Order
7/25/2002 Probation
7/20/2001 Probation
7/27/2000 Surrendered License
7/22/1999 Probation
1/21/1999 Suspension, License
Board Filings and/or Orders:
07/29/2004
09/17/2003
07/18/2002
07/20/2001
07/28/2000
07/27/2000
07/22/1999
01/21/1999
12/10/1998
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Atoka Memorial Hospital
Atoka, OK
Locations: Hours: Languages:
1590 W. LIBERTY RD
ATOKA OK 74525

Phone #: (580) 364-8205
Fax #:
Mon: 8:30AM - 5:00PM
Tue: 8:30AM - 5:00PM
Wed: 8:30AM - 5:00PM
Thu: 8:30AM - 5:00PM
Fri: 8:30AM - 11:30AM
Sat:
Sun:
Spanish
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JAMIE COLLINS APRN 91103
DEANNA HARMON APRN 82702
VELMA HOLLOWAY APRN 74456
CURTIS LEE MATZKVECH PA 783
JACOB MERRILL APRN 87981
DILLON MOORE APRN 12925
BRET REID OWEN PA 819
ANGI PALMER-MANIRE APRN 16238
KENDALL PHILLIPS APRN 4182
ERNEST PROO APRN 56034
ROY KENT ROGERS PA 812
LAUREN NACHELLE SANDMANN-CROW PA 2415
JEFFERY STAMPS APRN 69047
TABATHA STEWARD APRN 89577
DIAN MICHELLE WALSTON PA 1229
MONICA WINFORD APRN 97686
ASHLEY YURAS APRN 98208

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