Search Results
Last Update: Sunday, May 5, 2024 4:03 AM CDT
Next Update: Sunday, May 5, 2024 12:00 PM CDT
Return to Search Licensees page
|
COUCH, CALEB JOSIAH |
| Practice Address: |
AMC URGENT CARE
816 W TUCSON
BROKEN ARROW OK 74011
Address last updated on 3/29/2024 |
| Phone #: |
(580) 304-1191 |
| Fax #: |
|
| County: |
TULSA |
| License: |
5161 |
| Dated: |
11/6/2023 |
| Expires: |
3/31/2025 |
|
Temp.
Ltr.
Issued:
|
9/27/2023 |
|
Temp.
Ltr.
Expires:
|
11/16/2023 |
| 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.
|
|
Hospital Privileges:
None listed
|
|
Primary Supervisor(s):
|
| Name: |
Type: |
License Number: |
Full/Part Time: |
|
SAMUEL LYLE HAGUE
|
MD |
22530 |
|
|
Return to Search Licensees page
