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Last Update: Tuesday, November 5, 2024 10:12 AM CST
Next Update: Tuesday, November 5, 2024 12:00 PM CST
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LINVILLE, TARA RODERICK
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| Practice Address: |
UTICA PARK CLINIC DERMATOLOGY
9245 S MINGO RD
TULSA OK 74133
Address last updated on 3/13/2024 |
| Phone #: |
(918) 492-8980 |
| Fax #: |
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| County: |
TULSA |
| License: |
1108 |
| Dated: |
4/1/2001 |
| Expires: |
3/31/2025 |
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Temp.
Ltr.
Issued:
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1/4/2001 |
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Temp.
Ltr.
Expires:
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3/31/2001 |
| License Type: |
Physician Assistant |
| Specialty: |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| 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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Hospital Privileges:
None listed
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