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Oklahoma Board of Medical Licensure and Supervision

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GREEN, CHERYL RAE       
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: OKLAHOMA CARDIOVASCULAR SURGEONS
3433 NW 56TH ST BLDG B SUITE 670
OKLAHOMA CITY OK 73112-4430

Address last updated on 9/14/2015
Phone #: (405) 951-4345
Fax #:
County: OKLAHOMA
License: 1318
Dated: 2/6/2004
Expires: 3/31/2016
Temp. Ltr. Issued: 12/18/2003
Temp. Ltr. Expires: 3/31/2004
License Type: Physician Assistant
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2016
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:
OKLAHOMA CARDIOVASCULAR SURGEONS
3433 NW 56TH ST BLDG B SUITE 670
OKLAHOMA CITY OK 73112-4430

Phone #: (405) 951-4345
Fax #:

Hospital Privileges:

None listed

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