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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, April 18, 2024 6:52 PM CDT
Next Update: Friday, April 19, 2024 2:50 AM CDT

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MILLWEE, JOHNATHON DAVID
Practice Address: 4802 S 109TH E AVE
TULSA OK 74146

Address last updated on 7/20/2023
Phone #: (918) 392-1400
Fax #:
County: TULSA
License: 803
Dated: 9/5/2013
Expires: 8/31/2024
Temp. Ltr. Issued: 8/30/2013
Temp. Ltr. Expires: 9/13/2013
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:
4802 S 109TH E AVE
TULSA OK 74146

Phone #: (918) 392-1400
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
TIMOTHY MICHAEL GEIB MD 22888
JASON JAMES GRIFFIN MD 32031

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