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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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THOMPSON, IAN ST.GEORGE       
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: 101 W HEFNER RD
OKLAHOMA CITY OK 73114

Address last updated on 5/31/2024
Phone #: (405) 896-8058
Fax #: (844) 965-9881
County: OKLAHOMA
License: 19102
Dated: 7/1/2000
Expires: 7/1/2025
Temp. Lic. Issued: 6/26/1993
Temp. Lic. Expires: 10/1/1994
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1993
CME Year: 2027
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:
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Grady Memorial Hospital
Chickasha, OK
Locations: Hours: Languages:
101 W HEFNER RD
OKLAHOMA CITY OK 73114

Phone #: (405) 896-8058
Fax #: (844) 965-9881
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
AMANDA FITE APRN 14342
LAVON KLAHR APRN 50436
LINDSAY LANE APRN 6667
ANDREA RAE ROBERTS PA 1487
ALISA TARASOVA APRN 120108
CRYSTAL WHITE APRN 86527

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