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Oklahoma Board of Medical Licensure and Supervision

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HANVEY, SHANNON JONES       
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: RUBIN WHITE CLINIC
109 KERR AVE
POTEAU OK 74953

Address last updated on 2/20/2011
Phone #: (918) 649-1100
Fax #:
County: LEFLORE
License: 1926
Dated: 8/6/2010
Expires: 3/31/2011
License Type: Physician Assistant
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 0
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:
RUBIN WHITE CLINIC
109 KERR AVE
POTEAU OK 74953

Phone #: (918) 649-1100
Fax #:

Hospital Privileges:

None listed

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