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Last Update: Monday, November 4, 2024 1:08 PM CST
Next Update: Tuesday, November 5, 2024 4:30 PM CST
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CARMOUCHE', SHANNAN LEE
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| Practice Address: |
9800 BROADWAY EXTENSION SUITE 200
OKLAHOMA CITY OK 73114-6304
Address last updated on 2/4/2024 |
| Phone #: |
(405) 715-4496 |
| Fax #: |
(405) 715-4499 |
| County: |
CLEVELAND |
| License: |
1162 |
| Dated: |
4/1/2002 |
| Expires: |
3/31/2025 |
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Temp.
Ltr.
Issued:
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12/6/2001 |
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Temp.
Ltr.
Expires:
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3/31/2002 |
| License Type: |
Physician Assistant |
| Specialty: |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| CME Year: |
2025 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Hospital Privileges:
Community Hospital - OKC
Oklahoma City, OK
Northwest Surgical Hospital
Oklahoma City, OK
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