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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, April 30, 2024 10:53 AM CDT
Next Update: Tuesday, April 30, 2024 12:00 PM CDT

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BASE, ELISE NICOLE
Practice Address: NORMAN REGIONAL PRIMARY CARE
3400 W TECUMSEH RD STE 106
NORMAN OK 73072

Address last updated on 2/9/2024
Phone #: (405) 515-0044
Fax #: (405) 307-5621
County: CLEVELAND
License: 4571
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:
NORMAN REGIONAL PRIMARY CARE
3400 W TECUMSEH RD STE 106
NORMAN OK 73072

Phone #: (405) 515-0044
Fax #: (405) 307-5621

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
PATRICK GRAHAM LIVINGSTON DO 3866

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