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Oklahoma Board of Medical Licensure and Supervision

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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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GREEN, AILEEN LOUISE       
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: SAINT LOUIS UNIVERSITY
3691 RUTGER STREET
ST. LOUIS MO 63110

Address last updated on 11/1/2023
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 31897
Dated: 11/1/2015
Expires: 11/1/2023
License Type: Medical Doctor
Specialty: Nuclear Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Stanford Univ Sch Of Med, Stanford CA 94305
Graduated: 9 / 2006
CME Year: 2024
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 NUCLEAR MEDICINE
New Patients: No
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Global Health HMO
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
United Healthcare EPO
United Healthcare Options PPO
United Healthcare POS
United Insurance
Hospital Privileges: None listed
Locations: Hours: Languages:
SAINT LOUIS UNIVERSITY
3691 RUTGER STREET
ST. LOUIS MO 63110

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Fax #:
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