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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, May 6, 2024 4:08 PM CDT
Next Update: Tuesday, May 7, 2024 2:50 AM CDT

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MILLER, TERESA BETH
Practice Address: 4013 NW EXPRESSWAY SUITE 105
OKLAHOMA CITY OK 73116

Address last updated on 3/15/2024
Phone #: (405) 378-2727
Fax #:
County: OKLAHOMA
License: 1699
Dated: 4/1/2008
Expires: 3/31/2025
Temp. Ltr. Issued: 1/4/2008
Temp. Ltr. Expires: 5/17/2008
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
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:
4013 NW EXPRESSWAY SUITE 105
OKLAHOMA CITY OK 73116

Phone #: (405) 378-2727
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
MELANIE FRANCES BARRETT MD 33292
RACHEL JANE DALTHORP MD 27766
SHYVONNE NASHELLE-RUTH GRAY MD 27895

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