TUCKER, PHILLIP BRENT - Licensee Information

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Last Update: Sunday, November 17, 2024 3:48 AM CST
Next Update: Sunday, November 17, 2024 12:00 PM CST

TUCKER, PHILLIP BRENT

Practice Address:	WESTMOORE HIGH SCHOOL 12316 S. WESTERN AVE. OKLAHOMA CITY OK 73170 Address last updated on 7/10/2024
Phone #:	(405) 735-4800
Fax #:
County:	CLEVELAND
License:	695
Dated:	9/5/2013
Expires:	8/31/2025
Temp. Ltr. Issued:	8/23/2013
Temp. Ltr. Expires:	9/12/2013
License Type:	Athletic Trainer
Specialty:

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:
WESTMOORE HIGH SCHOOL 12316 S. WESTERN AVE. OKLAHOMA CITY OK 73170 Phone #: (405) 735-4800 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
JAMES LEE BOND	MD	21989