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BUSHYHEAD, TIMOTHY DON       
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 FRANCIS HEALTH SYSTEM
6161 SOUTH YALE
TULSA OK 74137

Address last updated on 11/2/2009
Phone #: (918) 494-1471
Fax #:
County: TULSA
License: 1352
Dated: 3/10/2005
Expires: 1/31/2010
License Type: Physical Therapist Assistant
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2009
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 FRANCIS HEALTH SYSTEM
6161 SOUTH YALE
TULSA OK 74137

Phone #: (918) 494-1471
Fax #:

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