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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, November 17, 2024 1:13 PM CST
Next Update: Sunday, November 17, 2024 4:30 PM CST

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CHANCELLOR, JONATHAN DRAKE       
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
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KRISTA LEE CARTER PA 1992
LAURA ROSE GRAY PA 1841
ROSEANNE GAIL HOANG PA 1258
MARGRETTE NGUYEN VO PA 1504

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