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WHITLATCH, CORDELIA JEAN BEATRICE STAAB       
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: IN HIS IMAGE FAMILY MEDICINE
7501 SOUTH RIVERSIDE PARKWAY
TULSA OK 74136

Address last updated on 5/4/2019
Phone #: (918) 710-4200
Fax #:
County: TULSA
License: 32510
Dated: 7/1/2017
Expires: 1/30/2021
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of KS Sch Of Med, Kansas City Ks 66103
Graduated: 5 / 2016
CME Year: 2020
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
IN HIS IMAGE FAMILY MEDICINE
7501 SOUTH RIVERSIDE PARKWAY
TULSA OK 74136

Phone #: (918) 710-4200
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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