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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, May 3, 2024 1:43 PM CDT
Next Update: Friday, May 3, 2024 4:30 PM CDT

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PETERSEN, EMILY MARIE
Practice Address: COOWEESCOOWEE HEALTH CENTER CHEROKEE NATION
395200 W 2900 RD
OCHELATA OK 74051

Address last updated on 3/28/2024
Phone #: (918) 535-6030
Fax #:
County: WASHINGTON
License: 4779
Dated: 5/2/2022
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:
COOWEESCOOWEE HEALTH CENTER CHEROKEE NATION
395200 W 2900 RD
OCHELATA OK 74051

Phone #: (918) 535-6030
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
TIMOTHY PATRICK GREEN MD 31695

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