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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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ROBERTS, AMANDA MICHELLE       
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: 2644 NW 63RD ST
OKLAHOMA CITY OK 73116-4902

Address last updated on 4/5/2024
Phone #: (405) 254-5565
Fax #: (405) 254-5569
County: OKLAHOMA
License: 36156
Dated: 6/16/2020
Expires: 6/1/2025
License Type: Medical Doctor
Specialty: Dermatology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Tx Tech Univ Hlth Sci Ctr Sch Of Med, Lubbock Tx 79430
Graduated: 5 / 2014
CME Year: 2026
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
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
2644 NW 63RD ST
OKLAHOMA CITY OK 73116-4902

Phone #: (405) 254-5565
Fax #: (405) 254-5569
Mon:
Tue:
Wed:
Thu:
Fri:
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