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Last Update: Thursday, September 26, 2024 6:51 PM CDT
Next Update: Friday, September 27, 2024 2:50 AM CDT
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MOORE, ROGER LYNN JR
|
Practice Address: |
ST JOHN URGENT CARE
1717 S UTICA
TULSA OK 74055-4600
Address last updated on 3/22/2024 |
Phone #: |
(918) 274-5000 |
Fax #: |
|
County: |
TULSA |
License: |
1378 |
Dated: |
11/4/2004 |
Expires: |
3/31/2025 |
Temp.
Ltr.
Issued:
|
9/24/2004 |
Temp.
Ltr.
Expires:
|
11/4/2004 |
License Type: |
Physician Assistant |
Specialty: |
|
|
Status: |
Active |
Status Class: |
Fully Licensed |
Restricted to: |
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CME Year: |
2025 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Hospital Privileges:
None listed
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Primary Supervisor(s):
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Name: |
Type: |
License Number: |
Full/Part Time: |
SHON KENDALL
|
DO |
4084 |
|
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