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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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WILKINS, NICOLE ANNE       
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: ADVANCED ORTHOPEDICS OF OKLAHOMA
2440 E 81ST ST
TULSA OK 74137

Address last updated on 8/23/2024
Phone #: (918) 494-9300
Fax #:
County: TULSA
License: 1148
Dated: 9/1/2019
Expires: 8/31/2025
Temp. Ltr. Issued: 8/20/2019
Temp. Ltr. Expires: 9/12/2019
License Type: Athletic Trainer
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 0
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:
ADVANCED ORTHOPEDICS OF OKLAHOMA
2440 E 81ST ST
TULSA OK 74137

Phone #: (918) 494-9300
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JEFFREY LAWRENCE CUNNINGHAM MD 30836

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