ANDRUS, VERN ROBERT - Licensee Information

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

ANDRUS, VERN ROBERT

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:	IDEAL OPTION 3100 SOUTH ELM PLACE SUITE B BROKEN ARROW OK 74012 Address last updated on 3/5/2024
Phone #:	(509) 222-1275
Fax #:
County:	TULSA
License:	4602
Dated:	6/30/2021
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:
IDEAL OPTION 3100 SOUTH ELM PLACE SUITE B BROKEN ARROW OK 74012 Phone #: (509) 222-1275 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
BRIAN JEFFERSON DAWSON	MD	32064

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