Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

Return to Search Licensees page

MASON-MORTON, KATHLEEN ELLEN       
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: JON RIC INTERNATIONAL MEDICAL SPA
1229 E 33RD ST
EDMOND OK 73013

Address last updated on 3/9/2024
Phone #: (405) 285-4560
Fax #: (405) 216-5139
County: OKLAHOMA
License: 964
Dated: 4/1/1999
Expires: 3/31/2025
Temp. Ltr. Issued: 12/18/1998
Temp. Ltr. Expires: 3/31/1999
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2025
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
5/20/2010 Dismiss without Prejudice
11/16/2009 Complaint Citation
Board Filings and/or Orders:
05/20/2010
11/06/2009
11/06/2009
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
JON RIC INTERNATIONAL MEDICAL SPA
1229 E 33RD ST
EDMOND OK 73013

Phone #: (405) 285-4560
Fax #: (405) 216-5139

Hospital Privileges:

V.A. Medical Center-OKC
Oklahoma City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
CONRAD C CALDWELL III MD 22805
ANDREW MARK HOELSCHER MD 18631
ALEXA WOODSON MD 20116

Return to Search Licensees page