LILLY, SCOTT GREGORY - Licensee Information

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Last Update: Thursday, November 21, 2024 6:43 PM CST
Next Update: Friday, November 22, 2024 2:50 AM CST

LILLY, SCOTT GREGORY

This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.

Practice Address:	7890 E 106TH PL S UNIT V12 TULSA OK 74133 Address last updated on 5/8/2024
Phone #:	(918) 922-7686
Fax #:
County:	TULSA
License:	21684
Dated:	7/26/2000
Expires:	7/1/2025
Temp. Lic. Issued:	7/13/2000
Temp. Lic. Expires:	9/30/2000
License Type:	Medical Doctor
Specialty:	Medical Oncology HEMATOLOGY/ONCOLOGY

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	YES
Medical School:	Univ of Toledo Coll of Med, Toledo OH 43699
Graduated:	5 / 1991
CME Year:	2027

Pending and/or Past Disciplinary Actions:

Date

Action

Reasons

Remarks

11/17/2023

License Reinstated

4/29/2019

Modification Order

1/11/2018

Modification Order

11/8/2017

Suspension, License

7/27/2016

Complaint Citation

Board Filings and/or Orders:
11/17/2023
05/02/2019
02/26/2018
11/08/2017
02/17/2017
07/25/2016
07/25/2016

All information below is entered by the licensee but not verified by the Oklahoma Medical Board.

Certifications:	AMERICAN BOARD OF INTERNAL MEDICINE - Medical Oncology
New Patients:	Yes
Medicaid:	Yes
Medicare:	Yes

HMO/PPO:	None listed
Hospital Privileges:	None listed

Locations:	Hours:	Languages:
7890 E 106TH PL S UNIT V12 TULSA OK 74133 Phone #: (918) 922-7686 Fax #:	Mon: 10:00AM - 5:00PM Tue: 10:00AM - 5:00PM Wed: 10:00AM - 5:00PM Thu: 10:00AM - 5:00PM Fri: 10:00AM - 2:00PM Sat: Sun:	Spanish
Axis Health Care 2431 SE Washington Blvd Ste B Bartlesville, OK 74006 Phone #: (918) 335-2273 Fax #: (8) 202-	Mon: Tue: Wed: Thu: Fri: Sat: Sun:
Axis Healthcare Inola 23 W Commercial Dr Inola, OK 74036 Phone #: (918) 543-8880 Fax #: (8) 202-	Mon: Tue: Wed: Thu: Fri: Sat: Sun:
Axis Healt 3hcare Sapulpa 303 E Taft Ave Ste sapulpa, OK 74066 Phone #: (918) 224-2222 Fax #: (8) 202-	Mon: Tue: Wed: Thu: Fri: Sat: Sun:
Axis Healthcare Pryor 211 S Mill St Pryor, OK 74361 Phone #: (918) 825-3777 Fax #: (8) 202-	Mon: Tue: Wed: Thu: Fri: Sat: Sun:
11911 S. Memorial Dr. Bixby, OK 74008 Phone #: (918) 943-3790 Fax #: (1) 201-	Mon: 8:00AM - 5:00PM Tue: 8:00AM - 5:00PM Wed: 8:00AM - 5:00PM Thu: 8:00AM - 5:00PM Fri: 8:00AM - 2:00PM Sat: Sun:

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