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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, April 19, 2024 8:43 AM CDT
Next Update: Friday, April 19, 2024 12:00 PM CDT

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ACKERMAN, AUTUMN RENAE
Practice Address: OU FAMILY MEDICINE
1111 S. ST LOUIS AVE
TULSA OK 74120

Address last updated on 2/9/2024
Phone #: (918) 619-4600
Fax #:
County: TULSA
License: 1529
Dated: 4/26/2006
Expires: 3/31/2025
Temp. Ltr. Issued: 1/26/2006
Temp. Ltr. Expires: 5/13/2006
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2025
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:
OU FAMILY MEDICINE
1111 S. ST LOUIS AVE
TULSA OK 74120

Phone #: (918) 619-4600
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
DOUGLAS JOHN IVINS MD 23164
JAMES STUART MILLAR MD 12344
LOUIS E MULKEY DO 3479
JOHN WYLIE TIPTON MD 10115
L JANELLE WHITT DO 3610

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