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TILLMANNS, TODD DAVID       
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: UNIVERSITY OF OKLAHOMA HSC
PO BOX 26901
WILLIAMS PAVILLION 2ND FLOOR RM 2470
OKLAHOMA CITY OK 73190
Phone #:
Fax #: (405) 271-2976
County: OKLAHOMA
License: 21561
Dated: 6/1/2000
Expires: 6/1/2004
License Type: Medical Doctor
Specialty: Obstetrics & Gynecology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: CREIGHTON UNIV SCH OF MED, OMAHA NE 68178
Graduated: 5 / 1996
CME Year: 2006
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.
Certifications:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
UNIVERSITY OF OKLAHOMA HSC
PO BOX 26901
WILLIAMS PAVILLION 2ND FLOOR RM 2470
OKLAHOMA CITY OK 73190

Phone #:
Fax #: (405) 271-2976

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