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

VOSBURGH, KIMBERLIE 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: ST JOHN'S NEUROLOGY
1923 SOUTH UTICA AVENUE
TULSA OK 74104

Address last updated on 2/6/2024
Phone #: (918) 744-2243
Fax #:
County: TULSA
License: 3096
Dated: 11/7/2019
Expires: 3/31/2025
Temp. Ltr. Issued: 9/11/2019
Temp. Ltr. Expires: 11/7/2019
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:
ST JOHN'S NEUROLOGY
1923 SOUTH UTICA AVENUE
TULSA OK 74104

Phone #: (918) 744-2243
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
Tristan Dean Smith DO 6500
MARIA SUPER DO 5635

Return to Search Licensees page