GORDON, AMY LYNN - 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

GORDON, AMY LYNN

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:	OSU ADDICTION RECOVERY CLINIC 5310 EAST 31ST STREET SUITE 1102 TULSA OK 74135 Address last updated on 2/25/2024
Phone #:	(918) 561-1890
Fax #:
County:	TULSA
License:	499
Dated:	10/16/1987
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:
OSU ADDICTION RECOVERY CLINIC 5310 EAST 31ST STREET SUITE 1102 TULSA OK 74135 Phone #: (918) 561-1890 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
GARY RAYMOND DENNY	DO	2858
KELLY JORDAN DUNN	MD	30634

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