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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 26, 2024 3:50 AM CST
Next Update: Thursday, December 26, 2024 12:00 PM CST

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HENDRICKS, SUSAN KAY       
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: No Current Practice Address
Address last updated on 9/15/2016
Phone #:
Fax #:
County:
License: 32612
Dated: 12/13/2016
Expires: 12/1/2017
Temp. Lic. Issued: 11/30/2016
Temp. Lic. Expires: 1/12/2017
License Type: Medical Doctor
Specialty: Obstetrics & Gynecology
Maternal & Fetal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: MI STATE UNIV COLL HUMAN MED, EAST LANSING MI 48824
Graduated: 3 / 1979
CME Year: 2019
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
AMERICAN BOARD OF OBSTETRICS AND GYNECOLOGY - Maternal & Fetal Medicine
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
No Current Practice Address
Phone #:
Fax #:

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