MEDLEY, SHANNON JAMESON - Licensee Information

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Last Update: Tuesday, December 24, 2024 6:44 PM CST
Next Update: Wednesday, December 25, 2024 2:50 AM CST

MEDLEY, SHANNON JAMESON

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:	INTERVENTIONAL PAIN MANAGEMENT 13601 MEMORIAL PARK DR SUITE 200 OKLAHOMA CITY OK 73120-1856 Address last updated on 7/11/2024
Phone #:	(405) 340-2100
Fax #:
County:	OKLAHOMA
License:	1614
Dated:	4/1/2007
Expires:	3/31/2025
Temp. Ltr. Issued:	1/26/2007
Temp. Ltr. Expires:	5/19/2007
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:
INTERVENTIONAL PAIN MANAGEMENT 13601 MEMORIAL PARK DR SUITE 200 OKLAHOMA CITY OK 73120-1856 Phone #: (405) 340-2100 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
BLAKE CHRISTENSEN	DO	4887
SARAH KATHARINE PETTY	MD	30747
NOEL ROBERT WILLIAMS	MD	17885

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