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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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UKLEYA, LAUREN DANIELLE       
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: OU HEALTH
700 NE 13TH ST SUITE 2H
OKLAHOMA CITY OK 73104

Address last updated on 9/3/2024
Phone #: (405) 271-5442
Fax #:
County: OKLAHOMA
License: 4461
Dated: 11/2/2020
Expires: 3/31/2025
Temp. Ltr. Issued: 10/30/2020
Temp. Ltr. Expires: 11/5/2020
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:
OU HEALTH
700 NE 13TH ST SUITE 2H
OKLAHOMA CITY OK 73104

Phone #: (405) 271-5442
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
MAYANK NANDKISHOR DAVE MD 25648
AMIR RUMMAN MD 35634
WILLIAM MCKEEVER TIERNEY MD 20307

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