THEISSEN, PAIGE JUHREE - Licensee Information

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

THEISSEN, PAIGE JUHREE

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:	STEPHENSON CANCER CENTER 800 NE 10TH STREET OKLAHOMA CITY OK 73104 Address last updated on 8/26/2024
Phone #:	(405) 271-4022
Fax #:
County:	OKLAHOMA
License:	1795
Dated:	2/5/2009
Expires:	3/31/2025
Temp. Ltr. Issued:	1/15/2009
Temp. Ltr. Expires:	4/3/2009
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:
STEPHENSON CANCER CENTER 800 NE 10TH STREET OKLAHOMA CITY OK 73104 Phone #: (405) 271-4022 Fax #:

Hospital Privileges:

OU Health Medical Center
Oklahoma City, OK

Name:	Type:	License Number:
Primary Supervisor(s):
ADAM STEVEN ASCH	MD	30572
JENNIFER LIN HOLTER-CHAKRABARTY	MD	21784
MOHAMAD OSAMA KHAWANDANAH	MD	26374
CARRIE HAU LAI YUEN	MD	29435

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