O'LEARY, CHARLES SAMUEL - 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

O'LEARY, CHARLES SAMUEL

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:	LAKE AREA MEDICAL ASSOCIATES 1400 W PAWNEE CLEVELAND OK 74020-3020 Address last updated on 2/4/2024
Phone #:	(918) 358-3588
Fax #:	(918) 358-2639
County:	PAWNEE
License:	359
Dated:	11/24/1975
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:
LAKE AREA MEDICAL ASSOCIATES 1400 W PAWNEE CLEVELAND OK 74020-3020 Phone #: (918) 358-3588 Fax #: (918) 358-2639

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
MARTIN THOMAS COOPER	MD	18889
B. Don Schumpert Jr	DO	2548

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