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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

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HELD, REAGAN LEE       
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: RADIAN MEDICAL SPA
7318 N. WESTERN AVE.
OKLAHOMA CITY OK 73116

Address last updated on 7/17/2024
Phone #: (405) 242-6040
Fax #:
County: OKLAHOMA
License: 1502
Dated: 4/1/2006
Expires: 3/31/2025
Temp. Ltr. Issued: 12/22/2005
Temp. Ltr. Expires: 5/13/2006
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:
RADIAN MEDICAL SPA
7318 N. WESTERN AVE.
OKLAHOMA CITY OK 73116

Phone #: (405) 242-6040
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
MATTHEW JAMES HAAG MD 22701
JAMES DANIEL SHEPHERD MD 25645
ASHLEE MICHELLE WAUGH MD 26007

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