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Next Update: Thursday, December 19, 2024 2:50 AM CST
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PETERSON, JO ELLE GRACE
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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: |
940 STANTON L YOUNG BLVD
OKLAHOMA CITY OK 73104
Address last updated on 11/25/2024 |
| Phone #: |
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| Fax #: |
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| County: |
OKLAHOMA |
| License: |
30326 |
| Dated: |
2/24/2014 |
| Expires: |
2/1/2025 |
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Temp.
Lic.
Issued:
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1/31/2014 |
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Temp.
Lic.
Expires:
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3/6/2014 |
| License Type: |
Medical Doctor |
| Specialty: |
Anatomic Pathology
Neuropathology |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ of TX Med Sch at Houston, Houston Tx 77225 |
| Graduated: |
5 /
2007 |
| CME Year: |
2026 |
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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 PATHOLOGY - Neuropathology
AMERICAN BOARD OF PATHOLOGY (Anatomic) |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
OU Health Medical Center
Oklahoma City, OK
OU Medical Center - Edmond
Edmond, OK
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