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OLIVER, STACIE LYNNETTE       
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: 2011 W BROADWAY AVE
SULPHUR OK 73086

Address last updated on 7/25/2022
Phone #:
Fax #:
County: MURRAY
License: 27938
Dated: 8/10/2011
Expires: 8/1/2024
License Type: Medical Doctor
Specialty: Anesthesiology
Pain Management (Anesthesiology)
Internal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ut Sch Of Med, Salt Lake Cty Ut 84132
Graduated: 5 / 2010
CME Year: 2026
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 ANESTHESIOLOGY
AMERICAN BOARD OF ANESTHESIOLOGY - Pain Medicine
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
2011 W BROADWAY AVE
SULPHUR OK 73086

Phone #:
Fax #:
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