Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

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

Return to Search Licensees page

BOUCHER, LAURA       
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: WARREN CLINIC NEUROSURGERY / ST.FRANCIS HOSPITAL
6475 SOUTH YALE AVE, STE #308
TULSA OK 74136

Address last updated on 3/22/2024
Phone #: (918) 499-4000
Fax #:
County: TULSA
License: 2883
Dated: 11/6/2023
Expires: 3/31/2025
Temp. Ltr. Issued: 10/13/2023
Temp. Ltr. Expires: 11/16/2023
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:
WARREN CLINIC NEUROSURGERY / ST.FRANCIS HOSPITAL
6475 SOUTH YALE AVE, STE #308
TULSA OK 74136

Phone #: (918) 499-4000
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
SCOTT THOMAS DULL MD 26851
NAINA LYNN GROSS MD 25071
DONALD T SCHLEICHER II DO 7572
RYAN ALEXANDER ZENGOU MD 42346

Return to Search Licensees page