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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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LINE, JOHN FRANKLIN       
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: MERCY CLINIC ORTHOPEDICS
1121 NEO LOOP
GROVE OK 74344

Address last updated on 3/10/2024
Phone #: (877) 783-4441
Fax #:
County: DELAWARE
License: 804
Dated: 12/26/1996
Expires: 3/31/2025
Temp. Ltr. Issued: 8/23/1996
Temp. Ltr. Expires: 8/23/1997
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:
MERCY CLINIC ORTHOPEDICS
1121 NEO LOOP
GROVE OK 74344

Phone #: (877) 783-4441
Fax #:

Hospital Privileges:

Hospital(s) Not In Oklahoma
,

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JON CHRISTOPHER BANWART MD 20602

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