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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

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SHEA, EMMA       
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: IDEAL IMAGE - AESTHETICS
6050 SOUTH YALE AVE STE 101
TULSA OK 74135
Address last updated on 2/29/2024
Phone #: (918) 660-0217
Fax #:
County: TULSA
License: 5102
Dated: 8/17/2023
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:
IDEAL IMAGE - AESTHETICS
6050 SOUTH YALE AVE STE 101
TULSA OK 74135
Phone #: (918) 660-0217
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
SHAUNA LEIGH MCKINNEY MD 26768
CYRUS DEAN MOTAZEDI DO 3977

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