Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

Last Update: Thursday, September 26, 2024 6:51 PM CDT
Next Update: Friday, September 27, 2024 2:50 AM CDT

Return to Search Licensees page

DAGENAIS, MARY J       
Practice Address: MIDWEST PHYSIATRISTS P.A.
9415 E HARRY ST SUITE 602
WICHITA KS 67207

Address last updated on 9/12/2024
Phone #: (316) 681-2420
Fax #: (316) 681-3561
County: NOT OKLAHOMA
License: 1218
Dated: 4/1/2003
Expires: 3/31/2025
Temp. Ltr. Issued: 1/23/2003
Temp. Ltr. Expires: 3/31/2003
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:
MIDWEST PHYSIATRISTS P.A.
9415 E HARRY ST SUITE 602
WICHITA KS 67207

Phone #: (316) 681-2420
Fax #: (316) 681-3561

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
MARK D ERHARDT DO 4367
PEDRO A. MURATI MD 19671

Return to Search Licensees page