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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 22, 2024 3:47 AM CST
Next Update: Friday, November 22, 2024 12:00 PM CST

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BADAROUX, STEPHANIE VAN-ANH       
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: BROW AND SKIN CO
4117 NW 122ND ST
SUITE 1
OKLAHOMA CITY OK 73120

Address last updated on 7/27/2024
Phone #:
Fax #:
County: OKLAHOMA
License: 2885
Dated: 2/27/2018
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:
BROW AND SKIN CO
4117 NW 122ND ST
SUITE 1
OKLAHOMA CITY OK 73120

Phone #:
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
CHAD BORIN DO 3746
CHRISTOPHER BRADSHAW DO 5189
CONRAD C CALDWELL III MD 22805
JEFFREY WILLIAM L'HOMMEDIEU MD 19872
JULIE LEWIS DO 5247
BRANDY NICOLE MONTES MD 30832
JAMES ROBERT PETERSEN DO 5698
STEPHEN WARE SNELL III MD 19315

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