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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, April 26, 2024 7:06 PM CDT
Next Update: Saturday, April 27, 2024 2:50 AM CDT

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GREEN, JASON CHRISTOPHER
Practice Address: 3219 S 79 E AVE
TULSA OK 74145

Address last updated on 10/25/2023
Phone #:
Fax #:
County: TULSA
License: 1745
Dated: 11/3/2011
Expires: 10/31/2024
Temp. Ltr. Issued: 10/14/2011
Temp. Ltr. Expires: 11/4/2011
License Type: Occupational Therapist
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2024
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:
3219 S 79 E AVE
TULSA OK 74145

Phone #:
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
STACY JAMES ELLIFRITT OA 905
TERRIE LEE WAGONER OA 310

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