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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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BULL, LISA MASK
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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: |
9245 S MINGO RD
TULSA OK 74133
Address last updated on 9/6/2024 |
| Phone #: |
(918) 492-8980 |
| Fax #: |
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| County: |
TULSA |
| License: |
30038 |
| Dated: |
11/28/2018 |
| Expires: |
11/1/2025 |
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Temp.
Lic.
Issued:
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11/13/2018 |
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Temp.
Lic.
Expires:
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1/17/2019 |
| License Type: |
Medical Doctor |
| Specialty: |
Dermatology
Dermatopathology |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
5 /
2013 |
| CME Year: |
2027 |
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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: |
ABPS - Dermatology
AMERICAN BOARD OF DERMATOLOGY
AMERICAN BOARD OF DERMATOLOGY - Dermatopathology |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
Hillcrest Hospital South
Tulsa, OK
Hillcrest Medical Center
Tulsa, OK
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