GREEN, REBEKAH SUSAN - 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

GREEN, REBEKAH SUSAN

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:	OPTUM SERVE/LHI 101 PERIMETER CENTER DRIVE OKLAHOMA CITY OK 73112 Address last updated on 3/27/2024
Phone #:	(405) 702-7750
Fax #:
County:	OKLAHOMA
License:	2513
Dated:	4/30/2015
Expires:	3/31/2025
Temp. Ltr. Issued:	3/26/2015
Temp. Ltr. Expires:	5/15/2015
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:
OPTUM SERVE/LHI 101 PERIMETER CENTER DRIVE OKLAHOMA CITY OK 73112 Phone #: (405) 702-7750 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
LLOYD AUSTIN AARON RUNSER	MD	38559

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