Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

Last Update: Tuesday, December 24, 2024 6:44 PM CST
Next Update: Wednesday, December 25, 2024 2:50 AM CST

Return to Search Licensees page

MOAK, KELLY       
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:
Address last updated on 3/26/2024
Phone #: (405) 456-4327
Fax #:
County:
License: 2482
Dated: 2/25/2015
Expires: 3/31/2025
Temp. Ltr. Issued: 2/11/2015
Temp. Ltr. Expires: 4/1/2015
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:

Phone #: (405) 456-4327
Fax #:

Hospital Privileges:

Grady Memorial Hospital
Chickasha, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
SALEEM MON QURESHI MD 25663

Return to Search Licensees page