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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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QUIROZ, LIESCHEN HAYDEE       
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: OUHSC- DEPT OF OB/GYN
825 NE 10TH STREET SUITE 5D
OKLAHOMA CITY OK 73104

Address last updated on 4/25/2023
Phone #: (405) 271-9493
Fax #: (405) 271-8762
County: OKLAHOMA
License: 26218
Dated: 5/22/2008
Expires: 5/1/2025
License Type: Medical Doctor
Specialty: Obstetrics & Gynecology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Keck Sch of Med of the USC, LOS ANGELES CA 90089
Graduated: 5 / 2001
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 OBSTETRICS AND GYNECOLOGY
AMERICAN BOARD OF OBSTETRICS AND GYNECOLOGY - Female Pelvic Medicine and Reconstructive Surgery
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: OU Health Medical Center
Oklahoma City, OK
Locations: Hours: Languages:
OUHSC- DEPT OF OB/GYN
825 NE 10TH STREET SUITE 5D
OKLAHOMA CITY OK 73104

Phone #: (405) 271-9493
Fax #: (405) 271-8762
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
TAMARA ANASTASIA POTEAT PA 1819
EVYNN TAPP APRN 83111

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