WHATLEY, STEPHANIE ARLENE - 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

WHATLEY, STEPHANIE ARLENE

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:	INTEGRIS URGENT CARE PLUS 1805 WEST OWEN K GARRIOT ENID OK 73703 Address last updated on 4/8/2024
Phone #:	(580) 233-9012
Fax #:
County:	GARFIELD
License:	1136
Dated:	9/7/2001
Expires:	3/31/2025
Temp. Ltr. Issued:	6/14/2001
Temp. Ltr. Expires:	9/29/2001
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:
INTEGRIS URGENT CARE PLUS 1805 WEST OWEN K GARRIOT ENID OK 73703 Phone #: (580) 233-9012 Fax #:

Hospital Privileges:

INTEGRIS Bass Baptist Health Center
Enid, OK

Name:	Type:	License Number:
Primary Supervisor(s):
MICHELLE RENEE BERGNER	MD	23956
MICHAEL DAVID LANDES	MD	31092

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