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Last Update: Friday, May 3, 2024 4:08 PM CDT
Next Update: Saturday, May 4, 2024 2:50 AM CDT
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|
MOORE, RACHEL ANN |
| Practice Address: |
REVIVE CLINIC LLC
13316 S. WESTERN
SUITE F
OKLAHOMA CITY OK 73170
Address last updated on 3/30/2024 |
| Phone #: |
(405) 703-8882 |
| Fax #: |
(405) 237-3799 |
| County: |
CLEVELAND |
| License: |
1709 |
| Dated: |
4/1/2008 |
| Expires: |
3/31/2025 |
|
Temp.
Ltr.
Issued:
|
1/17/2008 |
|
Temp.
Ltr.
Expires:
|
5/17/2008 |
| License Type: |
Physician Assistant |
| Specialty: |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| CME Year: |
2025 |
|
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
|
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Hospital Privileges:
None listed
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