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SEWELL, GRANT CLEMENT
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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.
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| Practice Address: |
1705 E 19TH STREE
STE302
TULSA OK 74104
Address last updated on 2/5/2022 |
| Phone #: |
(918) 748-7585 |
| Fax #: |
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| County: |
TULSA |
| License: |
34294 |
| Dated: |
4/1/2019 |
| Expires: |
4/1/2023 |
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Temp.
Lic.
Issued:
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3/11/2019 |
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Temp.
Lic.
Expires:
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5/9/2019 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
YES |
| Medical School: |
American Univ Of The Caribbean, Sch Of Med, St Maarten, Netherlands Antille |
| Graduated: |
8 /
2014 |
| CME Year: |
2025 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF FAMILY MEDICINE |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
Ascension St. John Jane Phillips Medical Center
Bartlesville, OK
Ascension St. John Medical Center
Tulsa, OK
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