Search Results
Last Update: Thursday, April 25, 2024 2:20 PM CDT
Next Update: Thursday, April 25, 2024 4:30 PM CDT
Return to Search Licensees page
|
AGUILLARD, BERNARD BLAKE |
| Practice Address: |
OKLAHOMA SURGICAL HOSPITAL
2408 E 81ST STREET
TULSA OK 74137
Address last updated on 8/28/2023 |
| Phone #: |
(918) 246-9500 |
| Fax #: |
|
| County: |
TULSA |
| License: |
418 |
| Dated: |
2/25/2005 |
| Expires: |
8/31/2024 |
|
Temp.
Ltr.
Issued:
|
9/30/2004 |
|
Temp.
Ltr.
Expires:
|
3/12/2005 |
| License Type: |
Athletic Trainer |
| Specialty: |
|
|
| Status: |
Active |
| Status Class: |
Fully Licensed |
| 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.
|
|
|
|
Primary Supervisor(s):
|
| Name: |
Type: |
License Number: |
Full/Part Time: |
|
RALPH TYLER BOONE
|
MD |
18846 |
|
|
Return to Search Licensees page
