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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, December 21, 2024 6:44 PM CST
Next Update: Sunday, December 22, 2024 2:50 AM CST

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MCGRAW, JILL D.       
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: BLOOM MEDICAL AESTHETICS
2110 W MAIN ST
NORMAN OK 73069

Address last updated on 3/26/2024
Phone #: (405) 366-6270
Fax #:
County: CLEVELAND
License: 1636
Dated: 4/30/2007
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:
BLOOM MEDICAL AESTHETICS
2110 W MAIN ST
NORMAN OK 73069

Phone #: (405) 366-6270
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
PAMELA SUE ALLEN MD 21159
ELIZABETH LOVELY GREENHAW MD 23933

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