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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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HOLTER-CHAKRABARTY, JENNIFER LIN       
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: 800 NE 10TH
SUITE 2500
OKLAHOMA CITY OK 73104

Address last updated on 7/8/2024
Phone #: (405) 271-8299
Fax #: (405) 271-8490
County: OKLAHOMA
License: 21784
Dated: 9/18/2000
Expires: 9/1/2025
Temp. Lic. Issued: 7/1/1999
Temp. Lic. Expires: 7/1/2001
License Type: Medical Doctor
Specialty: Internal Medicine
HEMATOLOGY/ONCOLOGY
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 1999
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: AMERICAN BOARD OF INTERNAL MEDICINE - Hematology
AMERICAN BOARD OF INTERNAL MEDICINE - Medical Oncology
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: OU Health Medical Center
Oklahoma City, OK
Locations: Hours: Languages:
800 NE 10TH
SUITE 2500
OKLAHOMA CITY OK 73104

Phone #: (405) 271-8299
Fax #: (405) 271-8490
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Spanish
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
NATALIE LOREN GREEN PA 1800
SARAH MUMY HAWK PA 526
HAFSA ISHAQ PA 3112
CAROLINE MARIE O'NEAL PA 1581
PAIGE JUHREE THEISSEN PA 1795
PATRICIA ANNE WHITT PA 1811

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