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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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GILLILAND, SANDRA JEAN       
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: VARIETY CARE
LAFAYETTE PEDIATRIC CLINIC
500 SW 44TH
OKLAHOMA CITY OK 73109

Address last updated on 7/6/2023
Phone #: (405) 632-6688
Fax #: (405) 235-5208
County: OKLAHOMA
License: 23991
Dated: 9/1/2005
Expires: 9/1/2025
License Type: Medical Doctor
Specialty: Pediatrics
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: AMERICAN BOARD OF PEDIATRICS
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
VARIETY CARE
LAFAYETTE PEDIATRIC CLINIC
500 SW 44TH
OKLAHOMA CITY OK 73109

Phone #: (405) 632-6688
Fax #: (405) 235-5208
Mon: 8:00AM - 6:00PM
Tue: 8:00AM - 6:00PM
Wed: 8:00AM - 6:00PM
Thu: 8:00AM - 6:00PM
Fri: 8:00AM - 6:00PM
Sat: 8:00AM - 12:00PM
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
MEGAN ELIESE MITCHELL PA 2230
TRAM THUY THI NGUYEN PA 2730
BRIAN GARTH SHARP PA 1135
BAILEY LYNN WILLIAMS PA 2232

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