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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, May 4, 2024 6:58 PM CDT
Next Update: Sunday, May 5, 2024 2:50 AM CDT

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MOAK, KELLY
Practice Address:
Address last updated on 3/26/2024
Phone #: (405) 456-4327
Fax #:
County:
License: 2482
Dated: 2/25/2015
Expires: 3/31/2025
Temp. Ltr. Issued: 2/11/2015
Temp. Ltr. Expires: 4/1/2015
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:

Phone #: (405) 456-4327
Fax #:

Hospital Privileges:

Grady Memorial Hospital
Chickasha, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
SALEEM MON QURESHI MD 25663

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