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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, May 15, 2024 7:09 PM CDT
Next Update: Thursday, May 16, 2024 2:50 AM CDT

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TYRRELL, MICKEY RAY       
Practice Address: 803 N FOREMAN
VINITA OK 74301

Address last updated on 5/2/2024
Phone #: (918) 256-2261
Fax #:
County: CRAIG
License: 22897
Dated: 6/9/2005
Expires: 6/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: St George's Univ, Sch Of Med, St George's, Grenada
Graduated: 6 / 2002
CME Year: 2026
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
5/9/2011 Restriction Lifted
4/9/2011 Restriction
3/10/2011 Suspension, License
8/13/2010 Complaint Citation
Board Filings and/or Orders:
03/10/2011
08/13/2010
08/13/2010
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: St. Francis Hospital Vinita
Vinita, OK
Locations: Hours: Languages:
803 N FOREMAN
VINITA OK 74301

Phone #: (918) 256-2261
Fax #:
Mon: 8:30AM - 4:30PM
Tue: 8:30AM - 4:30PM
Wed: 8:30AM - 4:30PM
Thu: 8:30AM - 4:30PM
Fri: 8:30AM - 12:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
BROOKE BULLARD APRN 4799
JASON RICHARD MORGAN PA 2818
JASON VAN HOOSE APRN 4798
SERENA WILSON APRN 89085

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