GILLETTE, AARON JACOB - Licensee Information

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

GILLETTE, AARON JACOB

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:	THE PHYSICIAN'S GROUP LLC 3130 SW 89TH ST STE 100 OKLAHOMA CITY OK 73159 Address last updated on 3/10/2024
Phone #:	(405) 692-3737
Fax #:
County:	OKLAHOMA
License:	3125
Dated:	11/7/2019
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:
THE PHYSICIAN'S GROUP LLC 3130 SW 89TH ST STE 100 OKLAHOMA CITY OK 73159 Phone #: (405) 692-3737 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
MAC EDWARD MOORE	MD	23409
BARRY LYNN NORTHCUTT	MD	18467

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