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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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PILLOW, ENSA KATHARINE       
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: OCULOPLASTIC SURGEONS OF OKLAHOMA
16315 N. MAY AVENUE
EDMOND OK 73013

Address last updated on 6/10/2024
Phone #: (405) 521-0041
Fax #:
County: OKLAHOMA
License: 22974
Dated: 8/22/2003
Expires: 8/1/2025
License Type: Medical Doctor
Specialty: Ophthalmology
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: 6 / 2002
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 OPHTHALMOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: V.A. Medical Center-OKC
Oklahoma City, OK
Locations: Hours: Languages:
OCULOPLASTIC SURGEONS OF OKLAHOMA
16315 N. MAY AVENUE
EDMOND OK 73013

Phone #: (405) 521-0041
Fax #:
Mon:
Tue:
Wed:
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Sat:
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Oculoplastic Surgeons of OK
16315 N. May Avenue
Edmond, OK 73013

Phone #: (405) 521-0041
Fax #: (3) 202-
Mon:
Tue:
Wed:
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Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
LAUREN ADUDDELL PA 3064

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