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

Search Results

Last Update: Tuesday, May 7, 2024 2:28 PM CDT
Next Update: Tuesday, May 7, 2024 4:30 PM CDT

Return to Search Licensees page

OBRETENOVA, SOUZANA NIKOLAEVA
Practice Address: MERCY VIRTUAL
15740 S OUTER FORTY RD
CHESTERFIELD MO 63017

Address last updated on 6/2/2023
Phone #: (636) 237-4200
Fax #:
County: NOT OKLAHOMA
License: 37015
Dated: 8/7/2020
Expires: 8/1/2023
License Type: Medical Doctor
Specialty: Neurology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Georgetown Univ Sch Of Med, Washington DC 20007
Graduated: 5 / 2014
CME Year: 2023
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 INTERNAL MEDICINE - Sleep Medicine
AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY (Neurology specific)
AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY (Neurology specific) - Epilepsy
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Mercy Health Love County
Marietta, OK
Mercy Hospital Ada (frmly Valley View Regional Hospital)
Ada, OK
Mercy Hospital Healdton (fmly Healdton Municipal)
Healdton, OK
Mercy Hospital Kingfisher (fmly Kingfisher RH)
Kingfisher, OK
Mercy Hospital Logan County (fmly Logan Hosp. and MC)
Guthrie, OK
Mercy Hospital OKC
Oklahoma City, OK
Mercy Hospital Tishomingo (fmly Johnston Memorial)
Tishomingo, OK
Mercy Hospital Watonga (fmly Watonga Municipal Hospital)
Watonga, OK
Mercy Memorial Health Center, Inc.
Ardmore, OK
Locations: Hours: Languages:
MERCY VIRTUAL
15740 S OUTER FORTY RD
CHESTERFIELD MO 63017

Phone #: (636) 237-4200
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

Return to Search Licensees page