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Oklahoma Board of Medical Licensure and Supervision

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BLOSSMAN, WENDY ANNE       
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 Currently Practicing
BROKEN BOW OK 74728
Phone #:
Fax #:
County: MCCURTAIN
License: 782
Dated: 9/23/1996
Expires: 3/31/1999
Temp. Ltr. Issued: 9/20/1996
Temp. Ltr. Expires: 11/16/1996
License Type: Physician Assistant
Specialty:
Status: Inactive
Status Class: Disciplinary Action
Restricted to:
CME Year:
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
5/7/1999 Surrendered License
5/29/1998 Probation
Board Filings and/or Orders:
05/07/1999
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
Not Currently Practicing
BROKEN BOW OK 74728

Phone #:
Fax #:

Hospital Privileges:

None listed

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