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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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BLACK, ALLYSON RENEE       
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: 5915 W. MEMORIAL ROAD SUITE 300
OKLAHOMA CITY OK 73142-6470

Address last updated on 6/24/2024
Phone #: (405) 773-6472
Fax #:
County: OKLAHOMA
License: 27886
Dated: 7/1/2012
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Dermatology
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 / 2010
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 DERMATOLOGY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
5915 W. MEMORIAL ROAD SUITE 300
OKLAHOMA CITY OK 73142-6470

Phone #: (405) 773-6472
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
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