LIDDELL, RYAN ELIZABETH - Licensee Information

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Last Update: Monday, November 4, 2024 1:08 PM CST
Next Update: Tuesday, November 5, 2024 4:30 PM CST

LIDDELL, RYAN ELIZABETH

Practice Address:	ASCENSION MEDICAL GROUP ST. JOHN PRIMARY CARE 13600 E. 86TH ST. N SUITE 100 OWASSO OK 74055 Address last updated on 7/15/2024
Phone #:	(918) 272-9313
Fax #:
County:	TULSA
License:	5242
Dated:	2/22/2024
Expires:	3/31/2025
License Type:	Physician Assistant
Specialty:

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:
ASCENSION MEDICAL GROUP ST. JOHN PRIMARY CARE 13600 E. 86TH ST. N SUITE 100 OWASSO OK 74055 Phone #: (918) 272-9313 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
RAPHA A. S. WILEY	MD	28492