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OUTLAW, ELESYIA DJUWANYIA       
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: CANCER TREATMENT CENTERS OF AMERICA
10109 E.79TH STREET
ATTN: MED STAFF OFFICE
TULSA OK 74133

Address last updated on 7/14/2020
Phone #: (918) 286-5576
Fax #:
County: TULSA
License: 35135
Dated: 8/27/2019
Expires: 8/1/2021
Temp. Lic. Issued: 8/13/2019
Temp. Lic. Expires: 9/12/2019
License Type: Medical Doctor
Specialty: Radiology
Radiation Oncology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: ST LOUIS UNIV SCH OF MED, ST LOUIS MO 63104
Graduated: 5 / 2002
CME Year: 2022
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 RADIOLOGY (Radiation Oncology specific)
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
CANCER TREATMENT CENTERS OF AMERICA
10109 E.79TH STREET
ATTN: MED STAFF OFFICE
TULSA OK 74133

Phone #: (918) 286-5576
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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