GUILLERMO, CHRISTINE MARIE - Licensee Information

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

GUILLERMO, CHRISTINE MARIE

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:	VARIETY CARE INC 4021 S WALKER SUITE 201 OKLAHOMA CITY OK 73109 Address last updated on 6/27/2024
Phone #:	(405) 632-6688
Fax #:
County:	OKLAHOMA
License:	1439
Dated:	5/5/2005
Expires:	3/31/2025
Temp. Ltr. Issued:	3/3/2005
Temp. Ltr. Expires:	5/7/2005
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:
VARIETY CARE INC 4021 S WALKER SUITE 201 OKLAHOMA CITY OK 73109 Phone #: (405) 632-6688 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
YADER ALBERTO MENDOZA GOMEZ	MD	27194
JENNEY QIN	DO	5516

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