CUMMINGS, DEANNA JOHNSTON - Licensee Information

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

CUMMINGS, DEANNA JOHNSTON

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:	US DERMATOLOGY PARTNERS - PONCA CITY 415 FAIRVIEW AVENUE SUITE 202 PONCA CITY OK 74601 Address last updated on 3/11/2024
Phone #:	(580) 576-3369
Fax #:	(580) 352-5002
County:	KAY
License:	917
Dated:	9/16/1998
Expires:	3/31/2025
Temp. Ltr. Issued:	6/25/1998
Temp. Ltr. Expires:	9/26/1998
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:
US DERMATOLOGY PARTNERS - PONCA CITY 415 FAIRVIEW AVENUE SUITE 202 PONCA CITY OK 74601 Phone #: (580) 576-3369 Fax #: (580) 352-5002

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
THOMAS CARL HALL	MD	22869
SARA KATHLEEN METCALF	MD	23999

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