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Oklahoma Board of Medical Licensure and Supervision

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

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FRIEDERICH, JASON 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: ST JOHN MEDICAL CENTER
1923 S UTICA AVE
TULSA OK 74104

Address last updated on 6/29/2023
Phone #: (918) 744-3131
Fax #:
County: TULSA
License: 7
Dated: 11/8/2012
Expires: 3/31/2025
Temp. Ltr. Issued: 10/12/2012
Temp. Ltr. Expires: 3/7/2013
License Type: Radiologist Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
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:
ST JOHN MEDICAL CENTER
1923 S UTICA AVE
TULSA OK 74104

Phone #: (918) 744-3131
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
SATYENDRA ARYA MD 20718
KEVIN G BAKER DO 2941
VICKI SUE CHAIN DO 3910
ZACHARY D CHONKA MD 25183
MICHAEL KEITH COLE DO 3938
JONATHAN CHRISTOPHER CROSS MD 27929
SHARON LISA D'SOUZA MD 24066
Colby DeGiacomo DO 6641
IAN THOMAS FISCHER MD 29348
JOHN FREDERICK FITTER MD 23400
LISA M HAYES DO 4521
Kari Hopfer DO 6676
ANNE ELISABETH KOZLOWSKI DO 3861
LAUREN TRIBBEY LANE MD 32049
LARRY MATHIAS DO 7571
JACK JOHNNY MOCNIK JR MD 14168
JOHN NICHOLAS MORELLI MD 29005
ROBERT GENE MOULT DO 3824
ANDRA DALE NUZUM-KEIM MD 27297
CORDELL LEE PRIVAT MD 30549
JONATHAN CARL SCHNITKER MD 19355
RODNEY GLYN SHAFFER MD 24865
BRYAN SCOTT SMITH MD 27607
RANDALL HARWOOD STICKNEY MD 16318
Ronald A. Stillerman DO 3604
JESSICA WEBER DO 4585
ELIZABETH KLENDA YOUNG MD 34654

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