PURVINE, AMBER DAWN - 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

PURVINE, AMBER DAWN

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:	OKC VA HCS- ORTHOPEDIC SURGERY 921 NE 13TH STREET OKLAHOMA CITY OK 73104 Address last updated on 3/21/2024
Phone #:	(405) 456-1000
Fax #:	(405) 456-1734
County:	OKLAHOMA
License:	1333
Dated:	4/1/2004
Expires:	3/31/2025
Temp. Ltr. Issued:	1/8/2004
Temp. Ltr. Expires:	3/31/2004
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:
OKC VA HCS- ORTHOPEDIC SURGERY 921 NE 13TH STREET OKLAHOMA CITY OK 73104 Phone #: (405) 456-1000 Fax #: (405) 456-1734

Hospital Privileges:

None listed

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
LEON ARTHUR PONTIKES	MD	22527

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