GREEN, NATALIE LOREN - Licensee Information

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

GREEN, NATALIE LOREN

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 STREET OKLAHOMA CITY OK 73104 Address last updated on 3/26/2024
Phone #:	(405) 271-4022
Fax #:
County:	OKLAHOMA
License:	1800
Dated:	1/29/2009
Expires:	3/31/2025
Temp. Ltr. Issued:	1/15/2009
Temp. Ltr. Expires:	3/27/2009
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 STREET OKLAHOMA CITY OK 73104 Phone #: (405) 271-4022 Fax #:

Hospital Privileges:

OU Health Medical Center
Oklahoma City, OK

Name:	Type:	License Number:
Primary Supervisor(s):
JENNIFER LIN HOLTER-CHAKRABARTY	MD	21784
GEORGE BASIL SELBY	MD	13143

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