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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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REA, ASHLEY ANN       
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
1809 E. 13TH ST. SUITE 402
TULSA OK 74104

Address last updated on 2/7/2024
Phone #: (918) 579-2300
Fax #:
County: TULSA
License: 2002
Dated: 4/1/2011
Expires: 3/31/2025
Temp. Ltr. Issued: 3/25/2011
Temp. Ltr. Expires: 5/19/2011
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
1809 E. 13TH ST. SUITE 402
TULSA OK 74104

Phone #: (918) 579-2300
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
CHAD CRAWLEY DO 4449
RYAN E GURSKY DO 4518
JACLYN JONES DO 5757
DANYA JOSSERAND DO 5876
CHRISTIAN PAUL LUESSENHOP MD 19557
Christopher Treat DO 6545

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