SHAO, LAURA BETH - Licensee Information

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

SHAO, LAURA BETH

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:	MOORE PEDIATRIC ASSOCIATES 700 S. TELEPHONE ROAD SUITE 400 MOORE OK 73160 Address last updated on 11/22/2024
Phone #:	(405) 912-3100
Fax #:	(405) 912-3104
County:	CLEVELAND
License:	1955
Dated:	1/13/2011
Expires:	3/31/2025
Temp. Ltr. Issued:	1/7/2011
Temp. Ltr. Expires:	3/11/2011
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:
MOORE PEDIATRIC ASSOCIATES 700 S. TELEPHONE ROAD SUITE 400 MOORE OK 73160 Phone #: (405) 912-3100 Fax #: (405) 912-3104

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
REBA ANN BEARD	MD	13557
BETTY LEORA HARMON	MD	17592

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