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Oklahoma Board of Medical Licensure and Supervision

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MORELAND, VALERIE JO       
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: 2307 S GORDON COOPER DRIVE
SHAWNEE OK 74801

Address last updated on 6/25/2002
Phone #: (405) 273-5236
Fax #: (781) 444-1866
County: POTTAWATOMIE
License: 21258
Dated: 7/7/1999
Expires: 7/1/2005
Training Issued: 7/1/1998
Training Expires: 8/1/1999
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 1998
CME Year: 2005
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 FAMILY MEDICINE
New Patients: Yes
Medicaid: Contact licensee
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
2307 S GORDON COOPER DRIVE
SHAWNEE OK 74801

Phone #: (405) 273-5236
Fax #: (781) 444-1866
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM

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