Search Results
Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST
Return to Search Licensees page
|
COUCH, CALEB JOSIAH
|
|
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: |
AMC URGENT CARE
816 W TUCSON
BROKEN ARROW OK 74011
Address last updated on 3/29/2024 |
| Phone #: |
(580) 304-1191 |
| Fax #: |
|
| County: |
TULSA |
| License: |
5161 |
| Dated: |
11/6/2023 |
| Expires: |
3/31/2025 |
|
Temp.
Ltr.
Issued:
|
9/27/2023 |
|
Temp.
Ltr.
Expires:
|
11/16/2023 |
| 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.
|
|
Hospital Privileges:
None listed
|
|
Primary Supervisor(s):
|
| Name: |
Type: |
License Number: |
Full/Part Time: |
|
SAMUEL LYLE HAGUE
|
MD |
22530 |
|
|
Return to Search Licensees page
