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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, April 26, 2024 4:03 AM CDT
Next Update: Friday, April 26, 2024 12:00 PM CDT

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LAURITSEN, KJETIL RODLAND
Practice Address: UTICA PARK CLINIC
8803 S 101ST E AVE STE 100
TULSA OK 74133

Address last updated on 3/10/2024
Phone #: (918) 574-0220
Fax #:
County: TULSA
License: 2761
Dated: 2/6/2017
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:
UTICA PARK CLINIC
8803 S 101ST E AVE STE 100
TULSA OK 74133

Phone #: (918) 574-0220
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
Christopher Treat DO 6545

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