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Oklahoma Board of Medical Licensure and Supervision

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

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STONE, JASON LAWRENCE       
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: UTICA PARK CLINIC
8803 S 101ST EAST AVE
TULSA OK 74133

Address last updated on 3/3/2024
Phone #: (918) 574-0220
Fax #:
County: OKLAHOMA
License: 1537
Dated: 7/20/2006
Expires: 3/31/2025
Temp. Ltr. Issued: 6/22/2006
Temp. Ltr. Expires: 7/23/2006
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:
UTICA PARK CLINIC
8803 S 101ST EAST AVE
TULSA OK 74133

Phone #: (918) 574-0220
Fax #:

Hospital Privileges:

Ascension St. John Medical Center
Tulsa, OK
Hillcrest Hospital South (fmly SouthCrest)
Tulsa, OK
Tulsa Spine & Specialty Hospital
Tulsa, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
WILLIAM CHARLES CLARK JR MD 24842
RICHARD DRAKE DO 4066
RICHARD DOYLE THOMAS MD 20842

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