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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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MWANGI, EDWIN WAHOME       
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: Not Practicing as of 11/2/2020
Address last updated on 3/7/2024
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 4451
Dated: 11/2/2020
Expires: 3/31/2025
Temp. Ltr. Issued: 10/22/2020
Temp. Ltr. Expires: 11/5/2020
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Not Practicing
Restricted to:
CME Year: 2025
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
10/19/2023 Completed all requirements ordered by the Board
9/20/2023 Voluntary Submittal to Jurisdiction
6/21/2023 Complaint Citation
Board Filings and/or Orders:
09/20/2023
06/21/2023
06/21/2023
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
Not Practicing as of 11/2/2020
Phone #:
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
ROBERT KENT LIEURANCE MD 20886

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