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
TILLEY, ABSALOM H
|
|
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: |
900 NW 12TH STREET
OKLAHOMA CITY OK 73106
Address last updated on 6/21/2024 |
| Phone #: |
(405) 516-0276 |
| Fax #: |
|
| County: |
OKLAHOMA |
| License: |
36912 |
| Dated: |
7/14/2020 |
| Expires: |
7/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Internal Medicine |
|
| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
Univ Of AR Coll Of Med, Little Rock AR 72205 |
| Graduated: |
5 /
1989 |
| 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 INTERNAL MEDICINE |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
| |
|
| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
|
|
|
Primary Supervisees(s):
|
| Name: |
Type: |
License Number: |
Full/Part Time: |
|
LACEY GRAHAM
|
APRN |
14393 |
|
|
Return to Search Licensees page
