EVES, TAYLOR SUE - Licensee Information

Search Results

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

EVES, TAYLOR SUE

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 DERMATOLOGY 11402 NORTH 135TH EAST AVE OWASSO OK 74055 Address last updated on 5/14/2024
Phone #:	(918) 212-7373
Fax #:
County:	TULSA
License:	2491
Dated:	1/29/2015
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:
UTICA PARK CLINIC DERMATOLOGY 11402 NORTH 135TH EAST AVE OWASSO OK 74055 Phone #: (918) 212-7373 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
JOHN ROBERT ASHLEY	MD	13846
HANNAH ELIZABETH HOWARD	MD	31452
JOHNATHAN JAMES LEDET	MD	33281

Return to Search Licensees page