MARTIN, HARRISON CLAY - Licensee Information

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

MARTIN, HARRISON CLAY

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:	INTEGRIS BAPTIST MEDICAL CENTER 3300 NW EXPRESSWAY OKLAHOMA CITY OK 73112 Address last updated on 3/7/2024
Phone #:	(405) 949-3011
Fax #:
County:	OKLAHOMA
License:	5260
Dated:	4/24/2024
Expires:	3/31/2025
Temp. Ltr. Issued:	3/7/2024
Temp. Ltr. Expires:	5/16/2024
License Type:	Physician Assistant
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:	2026

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:
INTEGRIS BAPTIST MEDICAL CENTER 3300 NW EXPRESSWAY OKLAHOMA CITY OK 73112 Phone #: (405) 949-3011 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
MOBOLAJI OBAFUNMILOLA OLULADE	MD	29128

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