OWOTOMO, OLUWATOBI TOLUWA - Licensee Information

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Last Update: Sunday, May 5, 2024 6:58 PM CDT
Next Update: Monday, May 6, 2024 2:50 AM CDT

OWOTOMO, OLUWATOBI TOLUWA

Practice Address:	9600 N OKLAHOMA AVE OKLAHOMA CITY OK 73114 Address last updated on 12/11/2023
Phone #:	(347) 216-9667
Fax #:
County:	OKLAHOMA
License:	1288
Dated:	9/1/2022
Expires:	8/31/2024
Temp. Ltr. Issued:	7/11/2022
Temp. Ltr. Expires:	9/15/2022
License Type:	Athletic Trainer
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:
9600 N OKLAHOMA AVE OKLAHOMA CITY OK 73114 Phone #: (347) 216-9667 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
JAMES RICHARD BARRETT	MD	17839

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European Union Residents - GDPR Notice: In accordance with the Oklahoma Open Records Act, all applications submitted are a matter of public record. Social Security Numbers and any HIPAA-protected data are redacted. By applying for and retaining an Oklahoma Medical License, you are giving consent to share your information with anyone requesting it and waiving your right to be notified when your data is requested. We are also required to retain licensee records for a minimum of 10 years after the license expires, so any information submitted will remain a public record for that time period.

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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