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

PASSMORE, TIM R.J.       
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: OKLAHOMA STATE UNIVERSITY
181 COLVIN CENTER
STILLWATER OK 74078

Address last updated on 11/1/2024
Phone #: (405) 744-1811
Fax #:
County: OKLAHOMA
License: 72
Dated: 11/5/2010
Expires: 11/30/2026
License Type: Therapeutic Recreation Specialist
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:
OKLAHOMA STATE UNIVERSITY
181 COLVIN CENTER
STILLWATER OK 74078

Phone #: (405) 744-1811
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
AUDRA MARIE BRIDENDOLPH TRS 169
RAQUEL GABRIELLE PAIGE CULVERSON TRS 149
CASSANDRA LYNN TARIN TRS 164

Return to Search Licensees page