KOOISTRA, RACHEL LYNN - 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

KOOISTRA, RACHEL 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:	OU HEALTH GYNECOLOGIC ONCOLOGY 700 NE 13TH ST OKLAHOMA CITY OK 73104 Address last updated on 2/1/2024
Phone #:	(405) 271-7770
Fax #:
County:	OKLAHOMA
License:	5059
Dated:	8/17/2023
Expires:	3/31/2025
Temp. Ltr. Issued:	6/16/2023
Temp. Ltr. Expires:	9/14/2023
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 GYNECOLOGIC ONCOLOGY 700 NE 13TH ST OKLAHOMA CITY OK 73104 Phone #: (405) 271-7770 Fax #:

Hospital Privileges:

OU Health Medical Center
Oklahoma City, OK

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
DEBRA LYNN RICHARDSON	MD	33286

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