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Last Update: Saturday, April 27, 2024 1:44 PM CDT
Next Update: Saturday, April 27, 2024 4:30 PM CDT
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JOHANNESEN, ELISE MARISA 
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| Practice Address: |
3101 N TARRANT PKWY
FORT WORTH TX 76177
Address last updated on 7/2/2023 |
| Phone #: |
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| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
30075 |
| Dated: |
9/8/2014 |
| Expires: |
9/1/2024 |
| License Type: |
Medical Doctor |
| Specialty: |
MEDICINE/PEDIATRICS |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
5 /
2013 |
| CME Year: |
2026 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF INTERNAL MEDICINE
AMERICAN BOARD OF PEDIATRICS |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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