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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

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GREEN, JASON CHRISTOPHER       
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: 3219 S 79 E AVE
TULSA OK 74145

Address last updated on 12/6/2024
Phone #:
Fax #:
County: TULSA
License: 1745
Dated: 11/3/2011
Expires: 10/31/2025
Temp. Ltr. Issued: 10/14/2011
Temp. Ltr. Expires: 11/4/2011
License Type: Occupational Therapist
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
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.
Locations: Hours: Languages:
3219 S 79 E AVE
TULSA OK 74145

Phone #:
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
STACY JAMES ELLIFRITT OA 905

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