WAGES, DEANA MICHELLE - 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

WAGES, DEANA MICHELLE

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:	LAWTON VA CBOC 4303 PITMAN STREET BUILDING 4303 FT. SILL OK 73503 Address last updated on 3/30/2024
Phone #:	(580) 585-5600
Fax #:
County:	COMANCHE
License:	1451
Dated:	5/5/2005
Expires:	3/31/2025
Temp. Ltr. Issued:	11/22/2016
Temp. Ltr. Expires:	3/3/2017
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:
LAWTON VA CBOC 4303 PITMAN STREET BUILDING 4303 FT. SILL OK 73503 Phone #: (580) 585-5600 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
MARK WEISSMAN	MD	15521

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