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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 1:13 PM CST
Next Update: Monday, December 23, 2024 4:30 PM CST

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WILLISTON, LAUREL KATRINA       
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: WARREN CLINIC
1216 E APACHE ST
TULSA OK 74106

Address last updated on 5/22/2024
Phone #: (918) 340-5930
Fax #:
County: TULSA
License: 22584
Dated: 7/19/2001
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: TX A & M UNIV SYS HSC, COLL OF MED, COLLEGE STATION TX 77843
Graduated: 5 / 2000
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 FAMILY MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
WARREN CLINIC
1216 E APACHE ST
TULSA OK 74106

Phone #: (918) 340-5930
Fax #:
Mon: 9:30AM - 4:00PM
Tue: 7:00AM - 4:00PM
Wed: 7:00AM - 4:00PM
Thu: 7:00AM - 4:00PM
Fri: 7:00AM - 4:00PM
Sat:
Sun:
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Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
MADELINE ANNE PENNER PA 2437

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