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

Search Results

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

Return to Search Licensees page

FENNER, MICHAEL O'BRIEN       
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: SPECIALTY PROSTHETICS & ORTHOTICS OF TULSA
10338 E 21ST
TULSA OK 74129-0159

Address last updated on 5/15/2006
Phone #: (918) 832-7768
Fax #: (918) 834-0159
County: TULSA
License: 13
Dated: 2/25/2002
Expires: 12/31/2025
License Type: Licensed Prosthetist/Orthotist
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year:
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:
SPECIALTY PROSTHETICS & ORTHOTICS OF TULSA
10338 E 21ST
TULSA OK 74129-0159

Phone #: (918) 832-7768
Fax #: (918) 834-0159
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
SUSAN WILMA BENEAR RPOA 25
MICHAEL ANTHONY MARIANO LPO 129

Return to Search Licensees page