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Oklahoma Board of Medical Licensure and Supervision

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

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OLSEN, SEAN ANTHONY       
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: No Current Practice Address
Address last updated on 2/11/2024
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 2724
Dated: 1/24/2017
Expires: 3/31/2025
Temp. Ltr. Issued: 1/17/2017
Temp. Ltr. Expires: 5/4/2017
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:
No Current Practice Address
Phone #:
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
STEPHANIE BARNHART DO 4385
CARRIE ANN BARTON MD 24175
ANGELA CARRICK DO 4433
MATTHEW DAVIS DO 4239
KURT FEIGHNER DO 3570
MARCIA LEE HOOS-REINKE MD 25010
DANIEL KITE DO 4605
ROBIN MICHELLE MANTOOTH MD 19203
MICHAEL WARREN PORTER MD 28449
CHELSEA ROSE RISINGER DO 5205
THERON RISINGER DO 5432
LANCE DEAN WILLIAMS MD 20233
SHELLY ZIMMERMAN DO 3056

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