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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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FULLER, JOHN FITZGERALD       
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 VIRTUAL
15740 S OUTER FORTY RD
CHESTERFIELD MO 63017

Address last updated on 5/6/2024
Phone #: (636) 237-4200
Fax #:
County: NOT OKLAHOMA
License: 18096
Dated: 7/1/1992
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Emergency Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: ST LOUIS UNIV SCH OF MED, ST LOUIS MO 63104
Graduated: 5 / 1991
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.
Certifications: AMERICAN BOARD OF EMERGENCY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
MERCY VIRTUAL
15740 S OUTER FORTY RD
CHESTERFIELD MO 63017

Phone #: (636) 237-4200
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
LIZEL ALVARADO PA 5494
ASHLEIGH FORTSCHNEIDER PA 5500
KIMBERLY FRANER APRN 20827
KIMBERLY HARSY APRN 2519
MEGHAN LAMBERT APRN 9614
NICHOLE MACLELLAN APRN 12115

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