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Last Update: Tuesday, November 5, 2024 10:12 AM CST
Next Update: Tuesday, November 5, 2024 12:00 PM CST
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RICHARDSON, MICHAEL SHANE
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Practice Address: |
OAK STREET HEALTH
7521 SE 15TH ST
MIDWEST CITY OK 73110
Address last updated on 3/28/2024 |
Phone #: |
(405) 453-8004 |
Fax #: |
(405) 561-4857 |
County: |
OKLAHOMA |
License: |
1615 |
Dated: |
1/29/2007 |
Expires: |
3/31/2025 |
Temp.
Ltr.
Issued:
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1/19/2007 |
Temp.
Ltr.
Expires:
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5/19/2007 |
License Type: |
Physician Assistant |
Specialty: |
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Status: |
Active |
Status Class: |
Fully Licensed |
Restricted to: |
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CME Year: |
2025 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Hospital Privileges:
None listed
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