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TIPPENS, SHEA LYNN       
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: 1010 24TH AVE NW SUITE 110
NORMAN OK 73069

Address last updated on 11/2/2012
Phone #: (405) 701-4079
Fax #:
County: CLEVELAND
License: 1040
Dated: 6/5/2000
Expires: 3/31/2013
Temp. Ltr. Issued: 3/8/2000
Temp. Ltr. Expires: 7/29/2000
License Type: Physician Assistant
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
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.
Locations: Hours: Languages:
1010 24TH AVE NW SUITE 110
NORMAN OK 73069

Phone #: (405) 701-4079
Fax #:

Hospital Privileges:

None listed

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