Search Results
Last Update: Monday, April 29, 2024 7:03 PM CDT
Next Update: Tuesday, April 30, 2024 2:50 AM CDT
Return to Search Licensees page
BACA, NICOLE MARIE 
|
| Practice Address: |
SAINT FRANCIS HOSPITAL
6161 SOUTH YALE AVENUE
TULSA OK 74136
Address last updated on 3/7/2019 |
| Phone #: |
|
| Fax #: |
|
| County: |
TULSA |
| License: |
34517 |
| Dated: |
3/6/2019 |
| Expires: |
3/1/2020 |
|
Temp.
Lic.
Issued:
|
2/21/2019 |
|
Temp.
Lic.
Expires:
|
5/10/2019 |
| License Type: |
Medical Doctor |
| Specialty: |
Pediatric Hematology/Oncology
Pediatrics |
|
| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
Ross Univ, Sch of Med, Roseau, Dominica |
| Graduated: |
3 /
2012 |
| CME Year: |
2022 |
|
|
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.
|
| Certifications: |
AMERICAN BOARD OF PEDIATRICS |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
| |
|
| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
|
|
|
|
Return to Search Licensees page
