Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

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

Return to Search Licensees page

PENCE, VICKIE       
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: ASCENSION ST JOHN MEDICAL CENTER
1923 S UTICA AVE
TULSA OK 74104

Address last updated on 12/20/2024
Phone #: (918) 744-3131
Fax #:
County: TULSA
License: 5510
Dated:
Expires: 3/13/2025
Temp. Ltr. Issued: 12/20/2024
Temp. Ltr. Expires: 3/13/2025
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Temporary
Restricted to:
CME Year: 0
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 ST JOHN MEDICAL CENTER
1923 S UTICA AVE
TULSA OK 74104

Phone #: (918) 744-3131
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
SUSAN ELLEN KOHL MD 40152

Return to Search Licensees page