WHITE, KATIE MARIE - Licensee Information

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Last Update: Tuesday, April 23, 2024 6:58 PM CDT
Next Update: Wednesday, April 24, 2024 2:50 AM CDT

WHITE, KATIE MARIE

Practice Address:	SSM HEALTH DERMATOLOGY 1440 N MUSTANG RD MUSTANG OK 73064 Address last updated on 3/14/2024
Phone #:	(405) 280-7516
Fax #:
County:	CANADIAN
License:	2217
Dated:	4/1/2013
Expires:	3/31/2025
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:
SSM HEALTH DERMATOLOGY 1440 N MUSTANG RD MUSTANG OK 73064 Phone #: (405) 280-7516 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
TIFFANY GAIL BRAZEAL	MD	27705

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Oklahoma State Board of Medical Licensure and Supervision :: 101 NE 51st St, Oklahoma City, OK 73105-1821
Main Number: (405) 962-1400 :: Fax: (405) 962-1440 :: Complaints outside 405 area code: 1-800-381-4519
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