Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

Return to Search Licensees page

HENDERSON, TAYLOR JAYMES       
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: BISHOP KELLEY HIGH SCHOOL
3905 S HUDSON AVE
TULSA OK 74135

Address last updated on 8/26/2024
Phone #: (918) 627-3390 x151
Fax #:
County: TULSA
License: 1196
Dated: 9/1/2020
Expires: 8/31/2025
Temp. Ltr. Issued: 8/5/2020
Temp. Ltr. Expires: 9/10/2020
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:
BISHOP KELLEY HIGH SCHOOL
3905 S HUDSON AVE
TULSA OK 74135

Phone #: (918) 627-3390 x151
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JOHN CHARLES BALBAS MD 26150
ANTOINE IBRAHIM JABBOUR MD 17674

Return to Search Licensees page