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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, April 18, 2024 6:52 PM CDT
Next Update: Friday, April 19, 2024 2:50 AM CDT

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GAVULA, THERESA LYNN
Practice Address: Not Practicing as of 9/19/2018
Address last updated on 3/26/2024
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 1312
Dated: 4/1/2004
Expires: 3/31/2025
Temp. Ltr. Issued: 12/18/2003
Temp. Ltr. Expires: 3/22/2004
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Not Practicing
Restricted to:
CME Year: 2025
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:
Not Practicing as of 9/19/2018
Phone #:
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
ASHLEY ANN BAKER MD 27667
KISHA AZIZ BEG MD 33975
JOHN KIMBLE FRAZER MD 29167
OSMAN KHAN MD 28138
DAVID HAMILTON NOYD MD 38339
HANUMANTHA RAO POKALA MD 27682
LAURA MARIE ROOMS MD 20770
ARPAN ARUNKUMAR SINHA MD 33199
ANAND SRINIVASAN MD 32859

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