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Oklahoma Board of Medical Licensure and Supervision

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STOUT, PATRICIA ANN       
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: KIOWA COUNTY MEMORIAL HOSPITAL
HWY 54
GREENSBURG KS 67054

Address last updated on 1/5/2013
Phone #: (918) 397-0519
Fax #:
County: NOT OKLAHOMA
License: 1093
Dated: 2/14/2002
Expires: 1/31/2014
Temp. Ltr. Issued: 10/3/2001
Temp. Ltr. Expires: 5/19/2002
License Type: Physical Therapist Assistant
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2014
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:
KIOWA COUNTY MEMORIAL HOSPITAL
HWY 54
GREENSBURG KS 67054

Phone #: (918) 397-0519
Fax #:

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