HANEY, JON WESLEE - 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

HANEY, JON WESLEE

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:	PROACTIVE MD - PRIMARY CARE CLINIC 6633 E 540 RD CLAREMORE OK 74019 Address last updated on 3/25/2024
Phone #:	(918) 965-0220
Fax #:
County:	ROGERS
License:	2206
Dated:	1/10/2013
Expires:	3/31/2025
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:
PROACTIVE MD - PRIMARY CARE CLINIC 6633 E 540 RD CLAREMORE OK 74019 Phone #: (918) 965-0220 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
LEWIS JAY LITWACK	MD	24725
KAYUR V PATEL	MD	37614

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