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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, December 22, 2024 6:44 PM CST
Next Update: Monday, December 23, 2024 2:50 AM CST

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PERRY, SARA ELIZABETH       
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: 2017 W. I35 FRONTAGE RD.
SUITE 250
EDMOND OK 73013-8561

Address last updated on 2/6/2024
Phone #: (405) 757-3340
Fax #: (405) 757-3520
County: OKLAHOMA
License: 1809
Dated: 3/6/2009
Expires: 3/31/2025
Temp. Ltr. Issued: 3/5/2009
Temp. Ltr. Expires: 5/22/2009
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:
2017 W. I35 FRONTAGE RD.
SUITE 250
EDMOND OK 73013-8561

Phone #: (405) 757-3340
Fax #: (405) 757-3520

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JONATHAN HENRY CAPELLE MD 30586
ROBERT FRAZER HINES MD 14422
ZACHARY MICHAEL HURWITZ MD 32176
JAMES CALVIN JOHNSON MD 15302
MAC EDWARD MOORE MD 23409
KATHYLEE SANTANGELO MD 17177

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