WHITE, KATIE MARIE - Licensee Information

Search Results

Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

WHITE, KATIE MARIE

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:	SSM HEALTH DERMATOLOGY 1440 N MUSTANG RD MUSTANG OK 73064 Address last updated on 3/14/2024
Phone #:	(405) 280-7516
Fax #:
County:	CANADIAN
License:	2217
Dated:	4/1/2013
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:
SSM HEALTH DERMATOLOGY 1440 N MUSTANG RD MUSTANG OK 73064 Phone #: (405) 280-7516 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
TIFFANY GAIL BRAZEAL	MD	27705

Return to Search Licensees page