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
|
CHANCELLOR, JONATHAN DRAKE
|
|
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: |
4943 E 103RD ST.
TULSA OK 74137
Address last updated on 7/1/2024 |
| Phone #: |
(918) 625-9269 |
| Fax #: |
|
| County: |
TULSA |
| License: |
11284 |
| Dated: |
6/10/1977 |
| Expires: |
6/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Anesthesiology |
|
| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Tx Med Branch Galveston, Galveston Tx 77550 |
| Graduated: |
/
1974 |
| CME Year: |
2025 |
|
|
Pending and/or Past Disciplinary Actions:
|
| Date |
Action |
Reasons |
Remarks |
| 9/21/2006 |
Probation Ended |
|
|
| 10/24/2005 |
Probation |
|
|
| 9/22/2005 |
Suspension, License |
|
|
Board Filings and/or Orders:
09/21/2006
09/22/2005
06/02/2005
06/02/2005
|
|
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
|
| Certifications: |
AMERICAN BOARD OF ANESTHESIOLOGY |
| New Patients: |
No |
| Medicaid: |
No |
| Medicare: |
No |
| |
|
| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
|
| Locations: |
Hours: |
Languages: |
4943 E 103RD ST.
TULSA OK 74137
Phone #:
(918) 625-9269
Fax #:
|
Mon: AND CHURCH MEDICAL MISSIONS
Tue:
Wed:
Thu:
Fri:
Sat:
Sun: BY APPOINTMENT ONLY FOR CHURCH |
|
|
|
|
Return to Search Licensees page
