Search Results
Last Update: Thursday, September 26, 2024 6:51 PM CDT
Next Update: Friday, September 27, 2024 2:50 AM CDT
Return to Search Licensees page
MOAK, KELLY
|
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