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Next Update: Saturday, December 21, 2024 2:50 AM CST
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GORANSON, ERIN NICOLE
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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.
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| Practice Address: |
2822 PARKLAWN DR
MIDWEST CITY OK 73110-4202
Address last updated on 6/14/2024 |
| Phone #: |
(405) 610-8056 |
| Fax #: |
(405) 610-1879 |
| County: |
OKLAHOMA |
| License: |
29724 |
| Dated: |
5/1/2013 |
| Expires: |
5/1/2025 |
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Temp.
Lic.
Issued:
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4/11/2013 |
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Temp.
Lic.
Expires:
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5/18/2013 |
| License Type: |
Medical Doctor |
| Specialty: |
Pediatrics |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Mayo Med Sch, Rochester Mn 55905 |
| Graduated: |
5 /
2010 |
| CME Year: |
2025 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF PEDIATRICS |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
SSM St Anthony Midwest Regional Medical Center
Midwest City, OK
Summit Medical Center
Edmond, OK
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