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Oklahoma Board of Medical Licensure and Supervision

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MEINECKE, REBECCA JO       
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: SOUTHWESTERN MEDICAL CENTER
5602 E LEE BLVD
LAWTON OK 73505

Address last updated on 3/20/2017
Phone #: (580) 531-4756
Fax #:
County: COMANCHE
License: 1730
Dated: 4/23/2008
Expires: 3/31/2018
Temp. Ltr. Issued: 3/7/2008
Temp. Ltr. Expires: 5/16/2008
License Type: Physician Assistant
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2018
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:
SOUTHWESTERN MEDICAL CENTER
5602 E LEE BLVD
LAWTON OK 73505

Phone #: (580) 531-4756
Fax #:

Hospital Privileges:

None listed

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