ZORA, ABIGAIL MARILYN - Licensee Information

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

ZORA, ABIGAIL MARILYN

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:	MEDWISE LLC 1095 N ASPEN AVE BROKEN ARROW OK 74012 Address last updated on 7/24/2024
Phone #:	(918) 994-3476
Fax #:
County:	TULSA
License:	4464
Dated:	11/2/2020
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:
MEDWISE LLC 1095 N ASPEN AVE BROKEN ARROW OK 74012 Phone #: (918) 994-3476 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
JON HAMILTON	DO	3896
MONIQUE TISHA SIMONE MODEST-MCKOY	MD	29720
CALVIN PEITREI MONROE	MD	24674

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