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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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SIMPSON, LEE HALVOR       
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: GRAND LAKE MENTAL HEALTH CENTER
407 WEST SOUTH
PONCA CITY OK 74601

Address last updated on 2/6/2024
Phone #: (918) 273-1841 x3022
Fax #:
County: KAY
License: 1630
Dated: 4/30/2007
Expires: 3/31/2025
Temp. Ltr. Issued: 3/22/2007
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:
GRAND LAKE MENTAL HEALTH CENTER
407 WEST SOUTH
PONCA CITY OK 74601

Phone #: (918) 273-1841 x3022
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
DAVID L. MCELWAIN MD 14829

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