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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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ANDERSON, DONNA JEAN       
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: 1145 S. UTICA AVE.
SUITE 364
TULSA OK 74104 -400

Address last updated on 2/2/2024
Phone #: (918) 712-5000
Fax #: (918) 712-0286
County: TULSA
License: 314
Dated: 9/22/1981
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:
1145 S. UTICA AVE.
SUITE 364
TULSA OK 74104 -400

Phone #: (918) 712-5000
Fax #: (918) 712-0286

Hospital Privileges:

Hillcrest Medical Center
Tulsa, OK
Hillcrest Specialty Hospital
Tulsa, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
SUNIL AGRAWAL MD 26837
LAYTH AL ATTAR MD 37954
ISMAIL KHALIL ALMOKYAD MD 37423
KUSUM BHANDARI MD 23125
ROBERT MAX GOLD MD 14678
JANET ELAINE RUSSELL MD 20294
ANAND DEVIPRAKASH UDUPA MD 21103

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