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Last Update: Tuesday, November 5, 2024 10:12 AM CST
Next Update: Tuesday, November 5, 2024 12:00 PM CST
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PEACOCK, HANNAH MARIE
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| Practice Address: |
2212 NORTH BROADWAY
MOORE OK 73160
Address last updated on 3/27/2024 |
| Phone #: |
(405) 285-7222 |
| Fax #: |
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| County: |
OKLAHOMA |
| License: |
3211 |
| Dated: |
5/29/2020 |
| Expires: |
3/31/2025 |
| License Type: |
Physician Assistant |
| Specialty: |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| CME Year: |
2025 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Hospital Privileges:
None listed
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Primary Supervisor(s):
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| Name: |
Type: |
License Number: |
Full/Part Time: |
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AHMAD ASHFAQ
|
MD |
30335 |
|
|
James Le
|
DO |
6694 |
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