CORCORAN, VIRGINIA JULIAN - Licensee Information

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

CORCORAN, VIRGINIA JULIAN

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:	SYNERGENX 14101 NORTH EASTERN AVE STE B EDMOND OK 73013 Address last updated on 3/5/2024
Phone #:	(405) 237-5698
Fax #:
County:	OKLAHOMA
License:	2859
Dated:	12/18/2017
Expires:	3/31/2025
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:
SYNERGENX 14101 NORTH EASTERN AVE STE B EDMOND OK 73013 Phone #: (405) 237-5698 Fax #:

Hospital Privileges:

Hillcrest Hospital South
Tulsa, OK
Hillcrest Medical Center
Tulsa, OK
Tulsa Spine & Specialty Hospital
Tulsa, OK

Name:	Type:	License Number:
Primary Supervisor(s):
BLAKE LEW ANDERSON	MD	34046
ALAN STUART BOCK	MD	15266
Jean-Maria C. Langley	DO	4658

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