HILL, CONNIE JEAN - Licensee Information

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

HILL, CONNIE JEAN

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:	UNIVERSITY HEALTH SERVICES-PRIMARY CARE CLINIC 1202 W FARM RD STILLWATER OK 74078-2036 Address last updated on 4/10/2024
Phone #:	(405) 744-7665 x7678
Fax #:	(405) 744-6556
County:	PAYNE
License:	1050
Dated:	8/30/2000
Expires:	3/31/2025
Temp. Ltr. Issued:	8/17/2000
Temp. Ltr. Expires:	11/4/2000
License Type:	Physician Assistant
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:	2025

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:
UNIVERSITY HEALTH SERVICES-PRIMARY CARE CLINIC 1202 W FARM RD STILLWATER OK 74078-2036 Phone #: (405) 744-7665 x7678 Fax #: (405) 744-6556

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
WALTER MARK BOOMER	MD	17300
DARREN TODD GREEN	MD	18419
Stacey Thao Phan	DO	4547

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