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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, April 19, 2024 6:57 PM CDT
Next Update: Saturday, April 20, 2024 2:50 AM CDT

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PECK, KRISTIN MARIE
Practice Address: ERNEST CHILDERS VA CLINIC
EASTERN OKLAHOMA VA HEALTH CARE SYSTEM
8921 S MINGO RD
TULSA OK 74133

Address last updated on 3/13/2024
Phone #: (918) 252-8060 x9760
Fax #:
County: TULSA
License: 2112
Dated: 1/12/2012
Expires: 3/31/2025
Temp. Ltr. Issued: 1/6/2012
Temp. Ltr. Expires: 1/16/2012
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:
ERNEST CHILDERS VA CLINIC
EASTERN OKLAHOMA VA HEALTH CARE SYSTEM
8921 S MINGO RD
TULSA OK 74133

Phone #: (918) 252-8060 x9760
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
ZAHEERUDDIN SHEIKH MD 39822
ELLEN IRENE ZANETAKIS MD 16096

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