DEATHERAGE, LUVEY YVONNE - 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

DEATHERAGE, LUVEY YVONNE

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:	IMMEDIATE CARE OF OKLAHOMA - URGENT CARE 502 N BROADWAY ST TECUMSEH OK 74873 Address last updated on 9/6/2024
Phone #:	(405) 598-7270
Fax #:
County:	POTTAWATOMIE
License:	2839
Dated:	12/19/2017
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:
IMMEDIATE CARE OF OKLAHOMA - URGENT CARE 502 N BROADWAY ST TECUMSEH OK 74873 Phone #: (405) 598-7270 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
RICHARD BROCK	DO	3444
VICTORIA LYNN JOHNSON	MD	20232
KEVIN M. PENWELL	DO	3873

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