STREET, JULIA KATHLEEN - Licensee Information

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Last Update: Monday, November 4, 2024 1:08 PM CST
Next Update: Tuesday, November 5, 2024 4:30 PM CST

STREET, JULIA KATHLEEN

Practice Address:	OKLAHOMA STATE UNIVERSITY HEALTH SERVICES 1202 W FARM ROAD STILLWATER OK 74078 Address last updated on 2/7/2024
Phone #:	(405) 744-7665
Fax #:
County:	PAYNE
License:	2652
Dated:	4/21/2016
Expires:	3/31/2025
Temp. Ltr. Issued:	2/16/2016
Temp. Ltr. Expires:	5/13/2016
License Type:	Physician Assistant
Specialty:

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:
OKLAHOMA STATE UNIVERSITY HEALTH SERVICES 1202 W FARM ROAD STILLWATER OK 74078 Phone #: (405) 744-7665 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
DARREN TODD GREEN	MD	18419