WINK, CAROL DIANE - Licensee Information

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

WINK, CAROL DIANE

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:	ASCENSION- ST JOHN CLINIC 402 W MORROW RD SAND SPRINGS OK 74063 Address last updated on 2/25/2024
Phone #:	(918) 245-1328
Fax #:
County:	TULSA
License:	1455
Dated:	7/21/2005
Expires:	3/31/2025
License Type:	Physician Assistant
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:	2025

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:
ASCENSION- ST JOHN CLINIC 402 W MORROW RD SAND SPRINGS OK 74063 Phone #: (918) 245-1328 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
CURTIS MICHAEL COGGINS	MD	14819
WILLIAM MATTHEW JAMES	MD	26936

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