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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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MODEST-MCKOY, MONIQUE TISHA SIMONE       
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: 3400 SE FRANK PHILLIPS BOULEVARD SUITE 400
BARTLESVILLE OK 74006

Address last updated on 10/22/2024
Phone #: (918) 331-2533
Fax #:
County: WASHINGTON
License: 29720
Dated: 4/15/2013
Expires: 4/1/2025
License Type: Medical Doctor
Specialty: Obstetrics & Gynecology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Med Coll Of Wi, Milwaukee Wi 53226
Graduated: 5 / 2009
CME Year: 2025
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
1/25/2022 Complaint Citation
Board Filings and/or Orders:
09/23/2022
01/25/2022
01/25/2022
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF OBSTETRICS AND GYNECOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Hillcrest Medical Center
Tulsa, OK
Locations: Hours: Languages:
3400 SE FRANK PHILLIPS BOULEVARD SUITE 400
BARTLESVILLE OK 74006

Phone #: (918) 331-2533
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ABIGAIL MARILYN ZORA PA 4464

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