License Verification

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JENNIFER FRANCES BUCK

License Number: PA9106346

Data As Of 5/19/2024

Profession
Physician Assistant
License
PA9106346
License Status
DELINQUENT/
Qualifications
Prescribing
License Expiration Date
1/31/2024
License Original Issue Date
12/01/2011
Address of Record
916 Koala Dr
Confluence Health - OMak
OMAK, WA 98841
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
ALSHAZLEY, MOUDAR Supervising Prescribing Practitioner Medical Doctor 78728 01/08/2020
ARBUCKLE, SEAN SR Supervising Prescribing Practitioner Osteopathic Physician 11132 01/08/2020
BORUP, MIKEL ELIAS Supervising Prescribing Practitioner Osteopathic Physician 16398 02/20/2020
CARLSON, WILLIAM SHAW Supervising Prescribing Practitioner Medical Doctor 121446 01/08/2020
COOK, DARREN LEE Supervising Prescribing Practitioner Osteopathic Physician 5856 01/08/2020
GAILMARD, WILLIAM ROBERT Supervising Prescribing Practitioner Medical Doctor 138184 01/08/2020
HINSHELWOOD, HEATHER LYN Supervising Prescribing Practitioner Medical Doctor 102798 01/11/2021
KALAJI, ZAHER Supervising Prescribing Practitioner Medical Doctor 73792 01/08/2020
LATHAM, JOSHUA LUKE DO Supervising Prescribing Practitioner Osteopathic Physician 10027 11/12/2019
MCNEIL, MEGAN IONE Supervising Prescribing Practitioner Medical Doctor 129689 05/20/2020
NODINE, STEVEN LEE Supervising Prescribing Practitioner Osteopathic Physician 11996 09/25/2020
NOGGLE, TOMMY STEVEN MD Supervising Prescribing Practitioner Medical Doctor 93880 11/12/2019
ORBEZO, ANED M Supervising Prescribing Practitioner Medical Doctor 95479 01/08/2020
OWEN, STEPHANIE LEANN Supervising Prescribing Practitioner Medical Doctor 127333 04/30/2020
PATEL, JAIMIN BALWANT M D Supervising Prescribing Practitioner Medical Doctor 104797 02/07/2020
PHELPS, ANID ORBEZO Supervising Prescribing Practitioner Medical Doctor 94653 01/08/2020
PORTER, JAYCE Supervising Prescribing Practitioner Osteopathic Physician 16341 01/08/2020
RAK, TIMOTHY AARON Supervising Prescribing Practitioner Medical Doctor 83486 02/20/2020
REVILLA, RICARDO ARSENIO Supervising Prescribing Practitioner Medical Doctor 106166 02/20/2020
SCHANDER, ARTUR Supervising Prescribing Practitioner Osteopathic Physician 15691 03/11/2020
THOMPSON, TOMMY GLEN II Supervising Prescribing Practitioner Medical Doctor 128635 11/14/2019
WADE, BARBARA HEETER MD Supervising Prescribing Practitioner Medical Doctor 51367 03/06/2012
WESTBROOK, JAMES WESLEY Supervising Prescribing Practitioner Medical Doctor 146630 07/25/2020

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 5/19/2024



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