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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, December 24, 2024 6:44 PM CST
Next Update: Wednesday, December 25, 2024 2:50 AM CST

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MORITZ, ERIN KATHLEEN       
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: OCSRI - SKIN CANCER CENTER
800 WEST BOISE CIRCLE
SUITE 400
BROKEN ARROW OK 74012
Address last updated on 3/12/2024
Phone #: (918) 307-0215
Fax #: (918) 250-7669
County: TULSA
License: 1767
Dated: 10/17/2008
Expires: 3/31/2025
Temp. Ltr. Issued: 9/25/2008
Temp. Ltr. Expires: 11/7/2008
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:
OCSRI - SKIN CANCER CENTER
800 WEST BOISE CIRCLE
SUITE 400
BROKEN ARROW OK 74012
Phone #: (918) 307-0215
Fax #: (918) 250-7669

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
Carlos Gomez-Meade DO 6596
JANELLE MARSHALL PAVLIS MD 33597

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