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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, May 1, 2024 7:03 PM CDT
Next Update: Thursday, May 2, 2024 2:50 AM CDT

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LIM, CARINA SONG
Practice Address: 2525 E CHARLESTON RD
#104
MOUNTAIN VIEW CA 94043

Address last updated on 3/11/2024
Phone #: (650) 861-3948
Fax #:
County: NOT OKLAHOMA
License: 4895
Dated: 4/1/2023
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:
2525 E CHARLESTON RD
#104
MOUNTAIN VIEW CA 94043

Phone #: (650) 861-3948
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
BREE ANN WILLIS MDC 38808

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