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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, December 21, 2024 6:44 PM CST
Next Update: Sunday, December 22, 2024 2:50 AM CST

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GREENHAW, ELIZABETH LOVELY       
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: BLOOM MEDICAL AESTHETICS
2110 W MAIN ST
NORMAN OK 73069

Address last updated on 7/26/2024
Phone #: (405) 366-6270
Fax #:
County: OKLAHOMA
License: 23933
Dated: 8/3/2005
Expires: 8/1/2025
License Type: Medical Doctor
Specialty: General Practice
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 / 2004
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:
New Patients: Yes
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
BLOOM MEDICAL AESTHETICS
2110 W MAIN ST
NORMAN OK 73069

Phone #: (405) 366-6270
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JILL D. MCGRAW PA 1636

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