Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

Return to Search Licensees page

WAETJEN, ERIC       
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: 1802 19TH ST.
ST. JOHN KRAVIS BLDG. 215
TULSA OK 74104-7542

Address last updated on 5/10/2022
Phone #: (918) 634-7542
Fax #: (918) 634-7567
County: TULSA
License: 32953
Dated: 7/1/2018
Expires: 7/1/2023
License Type: Medical Doctor
Specialty: General Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Univ of TX at San Antonio, UTSA Long School of Medicine
Graduated: 5 / 2016
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
1802 19TH ST.
ST. JOHN KRAVIS BLDG. 215
TULSA OK 74104-7542

Phone #: (918) 634-7542
Fax #: (918) 634-7567
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

Return to Search Licensees page