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

Search Results

Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

Return to Search Licensees page

TATUM, JONATHAN DAVIS       
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: DIAMOND THERAPY ( FOREST HILLS HEALTH CARE CENTER)
4300 W. HOUSTON
BROKEN ARROW OK 74012

Address last updated on 3/1/2015
Phone #: (918) 249-0082
Fax #:
County: TULSA
License: 3669
Dated: 10/23/2003
Expires: 1/31/2016
Temp. Ltr. Issued: 6/5/2003
Temp. Ltr. Expires: 2/11/2004
License Type: Physical Therapist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2016
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:
DIAMOND THERAPY ( FOREST HILLS HEALTH CARE CENTER)
4300 W. HOUSTON
BROKEN ARROW OK 74012

Phone #: (918) 249-0082
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
SHILOH ELIZABETH BERRY TA 3491
JESSICA EMILYE JACKSON TA 2475
MICHAEL MCCOY TA 3106
JODIE ANN STUCKEY TA 586
DEVIN T.A TUCKER TA 3615

Return to Search Licensees page