MONCHO, AMELIA NAZANINE - Licensee Information

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

MONCHO, AMELIA NAZANINE

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:	MODERN CONCIERGE MEDICINE 3540 S. BOULEVARD SUITE 175 EDMOND OK 73013 Address last updated on 9/5/2024
Phone #:	(405) 645-9789
Fax #:	(405) 259-1023
County:	OKLAHOMA
License:	1144
Dated:	11/30/2001
Expires:	3/31/2025
License Type:	Physician Assistant
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:	2025

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.

Locations:	Hours:	Languages:
MODERN CONCIERGE MEDICINE 3540 S. BOULEVARD SUITE 175 EDMOND OK 73013 Phone #: (405) 645-9789 Fax #: (405) 259-1023

Hospital Privileges:

None listed

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
ANGELA KRISTINA MORGAN	MD	24779

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