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Oklahoma Board of Medical Licensure and Supervision

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

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DOHLMAN, MATTHEW BRETT       
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: UTICA PARK DERMATOLOGY
9245 S. MINGO
TULSA OK 74133

Address last updated on 2/2/2024
Phone #: (918) 492-8980
Fax #: (918) 495-0607
County: TULSA
License: 1311
Dated: 1/30/2004
Expires: 3/31/2025
Temp. Ltr. Issued: 12/18/2003
Temp. Ltr. Expires: 3/31/2004
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:
UTICA PARK DERMATOLOGY
9245 S. MINGO
TULSA OK 74133

Phone #: (918) 492-8980
Fax #: (918) 495-0607

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
LISA MASK BULL MD 30038
HANNAH ELIZABETH HOWARD MD 31452
BERNARD N. ROBINOWITZ MD 10381

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