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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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MOELLER, ABBY MICHELLE       
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: STEPHENSON CANCER CENTER
800 NE 10TH
OKLAHOMA CITY OK 73104

Address last updated on 7/10/2024
Phone #: (405) 271-4088
Fax #:
County: OKLAHOMA
License: 1796
Dated: 4/1/2009
Expires: 3/31/2025
Temp. Ltr. Issued: 2/6/2009
Temp. Ltr. Expires: 4/3/2009
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:
STEPHENSON CANCER CENTER
800 NE 10TH
OKLAHOMA CITY OK 73104

Phone #: (405) 271-4088
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
MICHAEL SHAWN COOKSON MD 30147

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