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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

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PENNER, MADELINE ANNE       
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: ARUBAH COMMUNITY CLINIC (VOLUNTEER)
1021 W. MAIN
COLLINSVILLE OK 74021-3131

Address last updated on 5/13/2024
Phone #: (918) 371-3806
Fax #:
County: ROGERS
License: 2437
Dated: 1/15/2015
Expires: 3/31/2025
Temp. Ltr. Issued: 1/5/2015
Temp. Ltr. Expires: 1/16/2015
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:
ARUBAH COMMUNITY CLINIC (VOLUNTEER)
1021 W. MAIN
COLLINSVILLE OK 74021-3131

Phone #: (918) 371-3806
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JOHN GLADSTONE ABRAHAM MD 27255
ABEL LEE LAU MD 17057
ROSE ELLEN O' SLOAT MD 26414
LEAH UPTON DO 5453
LAUREL KATRINA WILLISTON MD 22584

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