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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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FORRESTER, STEFANIE N       
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: OKLAHOMA CITY INDIAN CLINIC
309 S ANN ARBOR AVE
OKLAHOMA CITY OK 73128

Address last updated on 11/22/2024
Phone #: (405) 948-4900
Fax #:
County: OKLAHOMA
License: 5503
Dated:
Expires: 3/13/2025
Temp. Ltr. Issued: 11/26/2024
Temp. Ltr. Expires: 3/13/2025
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Temporary
Restricted to:
CME Year: 0
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:
OKLAHOMA CITY INDIAN CLINIC
309 S ANN ARBOR AVE
OKLAHOMA CITY OK 73128

Phone #: (405) 948-4900
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JIN KONG MD 28776

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