WOMACK, AMANDA RAE - Licensee Information

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Last Update: Friday, April 19, 2024 4:47 PM CDT
Next Update: Saturday, April 20, 2024 2:50 AM CDT

WOMACK, AMANDA RAE

Practice Address:	ST. JOHN HEALTH SYSTEM 1923 S UTICA AVE TULSA OK 74104 Address last updated on 11/24/2016
Phone #:	(918) 744-2345
Fax #:
County:	TULSA
License:	13
Dated:	5/31/2017
Expires:	10/31/2024
License Type:	Anesthesiologist 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 HEALTH SYSTEM 1923 S UTICA AVE TULSA OK 74104 Phone #: (918) 744-2345 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
Ryan Newton Hulver	DO	4198

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Oklahoma State Board of Medical Licensure and Supervision :: 101 NE 51st St, Oklahoma City, OK 73105-1821
Main Number: (405) 962-1400 :: Fax: (405) 962-1440 :: Complaints outside 405 area code: 1-800-381-4519
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