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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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MCGOWEN, AUDREY GRACE       
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: Not Practicing as of 11/15/2017
Address last updated on 12/18/2024
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 2591
Dated: 4/21/2016
Expires: 3/31/2025
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Not Practicing
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:
Not Practicing as of 11/15/2017
Phone #:
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
HAMED ALBIEK MD 18468
STEPHANIE CARLETON GRIM MD 23471
TARA DESIREE LYND MD 22956
VIJAYA LAKSHMI MALPANI MD 12609
ROBERT KEVIN MOORE MD 16131
DENISE CAMPBELL SCOTT MD 16514
KALA HAIDUK SIGLER MD 19928

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