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Oklahoma Board of Medical Licensure and Supervision

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SMITH, MICHAEL JAMES       
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: ST JOHN HEALTH SYSTEM
1923 S. UTICA
TULSA OK 74104

Address last updated on 3/8/2018
Phone #: (918) 748-7585
Fax #:
County: TULSA
License: 2412
Dated: 11/6/2014
Expires: 3/31/2018
Temp. Ltr. Issued: 10/10/2014
Temp. Ltr. Expires: 11/7/2014
License Type: Physician Assistant
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2018
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:
ST JOHN HEALTH SYSTEM
1923 S. UTICA
TULSA OK 74104

Phone #: (918) 748-7585
Fax #:

Hospital Privileges:

None listed

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