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Oklahoma Board of Medical Licensure and Supervision

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

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WADLEY, HEATHER HENNIGAN       
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: OU DERMATOLOGY CLINIC
619 NE 13TH STREET
OKLAHOMA CITY OK 73104

Address last updated on 3/7/2018
Phone #: (405) 271-6110
Fax #:
County: OKLAHOMA
License: 1423
Dated: 4/1/2005
Expires: 3/31/2019
Temp. Ltr. Issued: 1/27/2005
Temp. Ltr. Expires: 4/2/2005
License Type: Physician Assistant
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2019
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:
OU DERMATOLOGY CLINIC
619 NE 13TH STREET
OKLAHOMA CITY OK 73104

Phone #: (405) 271-6110
Fax #:

Hospital Privileges:

OU Health Medical Center
Oklahoma City, OK

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