Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

Last Update: Friday, November 22, 2024 6:42 PM CST
Next Update: Saturday, November 23, 2024 2:50 AM CST

Return to Search Licensees page

CLICK, DEZIRAY SWING       
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: LIFE PSYCHIATRIC CLINIC
609 S KELLY AVE
UNIT B-2
EDMOND OK 73003

Address last updated on 4/19/2024
Phone #: (405) 724-6871
Fax #:
County: OKLAHOMA
License: 1473
Dated: 11/3/2005
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:
LIFE PSYCHIATRIC CLINIC
609 S KELLY AVE
UNIT B-2
EDMOND OK 73003

Phone #: (405) 724-6871
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
RAKESH AMIN MD 37788

Return to Search Licensees page