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Oklahoma Board of Medical Licensure and Supervision

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

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LOPEZ, CARLOS DAVID       
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: ST FRANCIS HOSPITAL
6161 S YALE AVE
TULSA OK 74136

Address last updated on 3/13/2024
Phone #: (918) 494-2200
Fax #:
County: TULSA
License: 2618
Dated: 1/14/2016
Expires: 3/31/2025
Temp. Ltr. Issued: 1/31/2017
Temp. Ltr. Expires: 5/4/2017
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:
ST FRANCIS HOSPITAL
6161 S YALE AVE
TULSA OK 74136

Phone #: (918) 494-2200
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
ALISA MICHELLE CROSS MD 31186
Melissa Evans-Brave DO 6161
ROGER ARNOLD GALLUP MD 32800
JASON HENDERSON DO 5300
ANDREW LOUIS KELLY MD 30014
NAZIHA IQBAL MALIK MD 32476
TIMOTHY A. NOKES DO 4703
Kevin Shane O'Neal DO 4544
STEVE SANDERS DO 2647
REBECCA LYNN THOMPSON WATSON MD 33626

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