UZUEGBUNEM, ANDREA JULIA - Licensee Information

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Last Update: Friday, November 22, 2024 1:58 PM CST
Next Update: Friday, November 22, 2024 4:30 PM CST

UZUEGBUNEM, ANDREA JULIA

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:	GREAT PLAINS CORRECTIONAL FACILITY 700 SUGAR CREEK DR HINTON OK 73047 Address last updated on 3/31/2024
Phone #:	(405) 542-3711
Fax #:
County:	CADDO
License:	2639
Dated:	4/1/2016
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:
GREAT PLAINS CORRECTIONAL FACILITY 700 SUGAR CREEK DR HINTON OK 73047 Phone #: (405) 542-3711 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
JOSEPH CLIFTON BROOME	MD	23006
DOUGLAS LEE KRUCKNER	MD	39019

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