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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 25, 2024 1:14 PM CST
Next Update: Wednesday, December 25, 2024 4:30 PM CST

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PAVLIS, JANELLE MARSHALL       
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: 800 W BOISE CIRCLE
SUITE 400
BROKEN ARROW OK 74012

Address last updated on 2/27/2024
Phone #: (918) 307-0215
Fax #: (918) 250-7669
County: TULSA
License: 33597
Dated: 4/5/2018
Expires: 4/1/2025
License Type: Medical Doctor
Specialty: Dermatologic Surgery
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of CA, Irvine, Ca Coll Of Med, Irvine CA 92697
Graduated: 4 / 2014
CME Year: 2027
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 DERMATOLOGY
AMERICAN BOARD OF DERMATOLOGY - Micrographic Dermatologic Surgery
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Ascension St. John Hospital - Broken Arrow
Broken Arrow, OK
Locations: Hours: Languages:
800 W BOISE CIRCLE
SUITE 400
BROKEN ARROW OK 74012

Phone #: (918) 307-0215
Fax #: (918) 250-7669
Mon: 8:00AM - 4:30PM
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ERIN KATHLEEN MORITZ PA 1767

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