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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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SCOTT, KATIE LYNN       
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: 6195 LUSK BOULEVARD
SUITE 250
STE 200
SAN DIEGO CA 92121

Address last updated on 8/10/2022
Phone #: (858) 859-1188
Fax #:
County: NOT OKLAHOMA
License: 4570
Dated: 4/21/2021
Expires: 3/31/2023
Temp. Ltr. Issued: 3/11/2021
Temp. Ltr. Expires: 5/13/2021
License Type: Physician Assistant
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2024
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:
6195 LUSK BOULEVARD
SUITE 250
STE 200
SAN DIEGO CA 92121

Phone #: (858) 859-1188
Fax #:

Hospital Privileges:

None listed

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