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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, April 25, 2024 4:12 PM CDT
Next Update: Friday, April 26, 2024 2:50 AM CDT

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HART, GORDON
Practice Address: AGELESS RESTORATION
3321 W ROCK CREEK RD
STE 100
NORMAN OK 73072

Address last updated on 3/31/2024
Phone #:
Fax #:
County: CLEVELAND
License: 2305
Dated: 10/28/2013
Expires: 3/31/2025
Temp. Ltr. Issued: 10/18/2013
Temp. Ltr. Expires: 11/7/2013
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:
AGELESS RESTORATION
3321 W ROCK CREEK RD
STE 100
NORMAN OK 73072

Phone #:
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
BRIAN PATRICK CAFARO MD 25083
GEO-PHILIPS CHACKO MD 23682

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