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Oklahoma Board of Medical Licensure and Supervision

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KIERL, LOREN ELIZABETH       
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: GREEN COUNTRY EMERGENCY PHYSICIANS
1120 S UTICA AVE
TULSA OK 74104-4012

Address last updated on 8/28/2023
Phone #: (918) 579-1000
Fax #:
County: TULSA
License: 28485
Dated: 9/24/2012
Expires: 9/1/2025
License Type: Medical Doctor
Specialty: Emergency Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ of TX Med Sch at Houston, Houston Tx 77225
Graduated: 5 / 2011
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 EMERGENCY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
GREEN COUNTRY EMERGENCY PHYSICIANS
1120 S UTICA AVE
TULSA OK 74104-4012

Phone #: (918) 579-1000
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
CARL DOUGLAS JACKSON PA 2616
MAX BRIAN SWENSON JR PA 15

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