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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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OLIVA, WILLIAM       
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: 13821 TECHNOLOGY DR
SUITE B
OKLAHOMA CITY OK 73134

Address last updated on 11/5/2024
Phone #: (405) 451-3454
Fax #: (405) 562-7039
County: OKLAHOMA
License: 32105
Dated: 3/22/2016
Expires: 3/1/2025
License Type: Medical Doctor
Specialty: Psychiatry
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Windsor Univ, Basseterre, St Kitts & Nevis
Graduated: 11 / 2012
CME Year: 2025
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 PSYCHIATRY AND NEUROLOGY - Child & Adolescent Psychiatry
AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY (Psychiatry specific)
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
13821 TECHNOLOGY DR
SUITE B
OKLAHOMA CITY OK 73134

Phone #: (405) 451-3454
Fax #: (405) 562-7039
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JULYE MARIE EATON PA 1139
DEREK KABASAWA PA 4813

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