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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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WARLICK, ETHAN AARON       
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: PEDISTAT
4710 EAST 51ST STREET
TULSA OK 74135

Address last updated on 9/10/2024
Phone #: (918) 928-7828
Fax #:
County: TULSA
License: 21053
Dated: 3/10/1999
Expires: 3/1/2025
License Type: Medical Doctor
Specialty: Pediatrics
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of KS Sch Of Med, Kansas City Ks 66103
Graduated: 6 / 1996
CME Year: 2026
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 PEDIATRICS
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
PEDISTAT
4710 EAST 51ST STREET
TULSA OK 74135

Phone #: (918) 928-7828
Fax #:
Mon: 11:00AM - 10:00PM
Tue: 11:00AM - 10:00PM
Wed: 11:00AM - 10:00PM
Thu: 11:00AM - 10:00PM
Fri: 11:00AM - 10:00PM
Sat: 11:00AM - 10:00PM
Sun: 11:00AM - 10:00PM
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
SUZANNE AMANDA ILIFF PA 1516

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