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Oklahoma Board of Medical Licensure and Supervision

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

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BERRY, ALICIA RAWN       
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: TULSA BONE AND JOINT ASSOCIATES
4802 S. 109TH E AVE
TULSA OK 74146

Address last updated on 8/26/2024
Phone #: (918) 392-1400
Fax #:
County: TULSA
License: 841
Dated: 9/4/2014
Expires: 8/31/2025
Temp. Ltr. Issued: 8/15/2014
Temp. Ltr. Expires: 9/19/2014
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:
TULSA BONE AND JOINT ASSOCIATES
4802 S. 109TH E AVE
TULSA OK 74146

Phone #: (918) 392-1400
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JOHN CHARLES BALBAS MD 26150
ANTOINE IBRAHIM JABBOUR MD 17674

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