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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

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BUTTS, SHANTE MARIE       
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: CHICKASAW NATION MEDICAL CENTER
1921 STONECIPHER BLVD
ADA OK 74820
Address last updated on 9/19/2024
Phone #: (405) 421-4550
Fax #:
County: PONTOTOC
License: 5114
Dated: 10/26/2023
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:
CHICKASAW NATION MEDICAL CENTER
1921 STONECIPHER BLVD
ADA OK 74820
Phone #: (405) 421-4550
Fax #:

Hospital Privileges:

Chickasaw Nation Medical Center
Ada, OK
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
KARINA MALGORZATA JANDZISZAK MD 20993

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