WRAY, ANDREA MICHELLE - Licensee Information

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Last Update: Friday, November 22, 2024 1:58 PM CST
Next Update: Friday, November 22, 2024 4:30 PM CST

WRAY, ANDREA 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:	OSSO 9800 BROADWAY EXT SUITE 201 OKLAHOMA CITY OK 73114 Address last updated on 2/3/2024
Phone #:	(405) 424-5415
Fax #:
County:	OKLAHOMA
License:	1958
Dated:	4/1/2011
Expires:	3/31/2025
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:
OSSO 9800 BROADWAY EXT SUITE 201 OKLAHOMA CITY OK 73114 Phone #: (405) 424-5415 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
A.D. BEACHAM III	DO	5351
BRETT ALAN BRALY	MD	30393

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