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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

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COOK, TANNER LEE       
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: 1923 SOUTH UTICA AVENUE
SIEGFRIED TOWER 4TH FLOOR
TULSA OK 74104

Address last updated on 3/21/2024
Phone #:
Fax #:
County: TULSA
License: 5047
Dated: 5/2/2023
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:
1923 SOUTH UTICA AVENUE
SIEGFRIED TOWER 4TH FLOOR
TULSA OK 74104

Phone #:
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JOSHUA TOBIN CALVERT MD 25602
ZAINAL MOIZ HUSSAIN MD 33374
MICHAEL RAY PHILLIPS MD 29306
SAID HASSANE SOUBRA MDC 44084

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