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
JOHNSON, GLENNA WONG
|
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: |
SOUND PHYSICIANS
1705 E 19TH ST
TULSA OK 74104
Address last updated on 5/2/2024 |
Phone #: |
(918) 744-3856 |
Fax #: |
|
County: |
TULSA |
License: |
34716 |
Dated: |
7/1/2020 |
Expires: |
7/1/2025 |
License Type: |
Medical Doctor |
Specialty: |
General Practice |
|
Status: |
Active |
Status Class: |
Fully Licensed |
Restricted to: |
|
Registered to Dispense: |
NO |
Medical School: |
PA STATE UNIV COLL OF MED, HERSHEY PA 17033 |
Graduated: |
5 /
2019 |
CME Year: |
2026 |
|
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: |
AMERICAN BOARD OF FAMILY MEDICINE |
New Patients: |
Yes |
Medicaid: |
Yes |
Medicare: |
Yes |
|
|
HMO/PPO: |
None listed |
Hospital Privileges: |
None listed |
|
|
Primary Supervisees(s):
|
Name: |
Type: |
License Number: |
Full/Part Time: |
HOLLY BENNETT
|
APRN |
116005 |
|
|
Return to Search Licensees page